Active NPI
Meghana Pancholi, DDS
- Dentist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 101584
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241007002547 | CA | Order and Referring Only - Dentist | 2567993132 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101584 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federally Qualified Health Center (FQHC)
- Hayward, CA
- NPI 1144597477
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.