Active NPI
Twin Health Medical Group PA
- General Practice Physician
- Menlo Park, CA
National Provider Identifier
1710652383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- TWIN HEALTH MEDICAL GROUP PA
- Practice address
- 4200 Bohannon Drive
Suite 280
Menlo Park, CA 94025 - Phone
- (408) 675-3255
- NPI assigned
- Aug 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Madhukanta Shah, M.D.
- Title
- Evp & Chief Medical Officer
- Phone
- (312) 607-0776
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4200 Bohannon Drive
Suite 280
Menlo Park, CA 94025
Mailing address
2525 Charleston Rd Ste 104
Mountain View, CA 94043-1636
Phone (650) 283-8654
National Provider Directory
National Provider DirectoryLocations
2525 Charleston Rd
Ste 104
Mountain View, CA 94043
Phone (408) 675-3255
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Mountain View, CA
- NPI 1104435999
-
- Family Nurse Practitioner
- Mountain View, CA
- NPI 1588098537
-
- Physician Assistant
- Mountain View, CA
- NPI 1861757080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778803200000",
"number": "1710652383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 CHARLESTON RD STE 104",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940431636",
"telephone_number": "650-283-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 BOHANNON DRIVE",
"address_2": "SUITE 280",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "94025",
"telephone_number": "408-675-3255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN HEALTH MEDICAL GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-15",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MADHUKANTA",
"authorized_official_title_or_position": "EVP & CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "312-607-0776",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.