Individual provider Active NPI

Meghana Pancholi, DDS

  • Dentist
  • San Jose, CA
National Provider Identifier
1760906861
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101584 Issued in CA
Practice address
2200 Eastridge Loop Ste 1060
San Jose, CA 95122-1478
Phone
(408) 238-6684
NPI assigned
Jul 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101584 CA Primary

Addresses

Primary practice location

2200 Eastridge Loop Ste 1060
San Jose, CA 95122-1478

Mailing address

33255 9TH St
Union City, CA 94587-2137
Phone (510) 471-5880

Other practice location 1

16110 E 14th St
Ashland, CA 94578-3002
Phone (510) 471-5880

Other practice location 2

33255 9th St
Union City, CA 94587-2137
Phone (510) 471-5880

Other practice location 3

680 W Tennyson Rd Rm 12
Hayward, CA 94544-5236
Phone (510) 471-5880

Other practice location 4

22331 Mission Blvd
Hayward, CA 94541-3911
Phone (510) 471-5880

Other practice location 5

28300 Huntwood Ave
Hayward, CA 94544-5425
Phone (510) 471-5880

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007002547 CA Order and Referring Only - DentistPractitioner - Dentist 2567993132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101584CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tiburcio Vasquez Health Center, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1760906861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33255 9TH ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945872137",
            "telephone_number": "510-471-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 EASTRIDGE LOOP STE 1060",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221478",
            "telephone_number": "408-238-6684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16110 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "CA",
            "postal_code": "945783002",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33255 9th St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945872137",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 W Tennyson Rd Rm 12",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945445236",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22331 Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945413911",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28300 Huntwood Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945445425",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHOLI",
        "first_name": "MEGHANA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.