Individual provider Active NPI

Ganga Devi Nadella, M.D.

  • Internal Medicine Physician
  • Redwood City, CA
National Provider Identifier
1700119823
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A107550 Issued in CA
Practice address
900 Veterans Blvd Ste 150
Redwood City, CA 94063-1741
Phone
(650) 298-8774
NPI assigned
Sep 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A107550 CA Primary

Addresses

Primary practice location

900 Veterans Blvd Ste 150
Redwood City, CA 94063-1741

Mailing address

900 Veterans Blvd Ste 150
Redwood City, CA 94063-1741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101214000645 CA Practitioner - Internal Medicine 5799972956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc Internal Medicine CurrentSince Dec 5, 2012 Accepting new patients
One Medical Group, Inc. Internal Medicine CurrentSince Dec 5, 2012 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients

Locations

1955 Broadway
Ste A
Oakland, CA 94612

900 Veterans Blvd
Ste 150
Redwood City, CA 94063
Phone (650) 298-8774

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

2950 S Delaware St
Ste 150
San Mateo, CA 94403

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

1299 Oakmead Pkwy
Sunnyvale, CA 94085
Phone (408) 266-3100

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1700119823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VETERANS BLVD STE 150",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VETERANS BLVD STE 150",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631741",
            "telephone_number": "650-298-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADELLA",
        "first_name": "GANGA",
        "middle_name": "DEVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-08",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A107550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.