Individual provider Active NPI

Padmaja Shyamala Murtinty, PA-C

  • Physician Assistant
  • Pleasanton, CA
National Provider Identifier
1760999510
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55985 Issued in CA
Practice address
5860 Owens Dr Ste 220
Pleasanton, CA 94588-3980
Phone
(925) 734-0336
NPI assigned
Jan 2, 2018
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X PA55985 CA Primary

Addresses

Primary practice location

5860 Owens Dr Ste 220
Pleasanton, CA 94588-3980

Mailing address

1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200319001548 CA Practitioner - Physician Assistant 4789012030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, 106 clinicians

Practice addresses (Care Compare)

40910 Fremont Blvd
Fremont, CA 94538-4375
Phone (510) 770-8040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55985CAMDDentist
PA55985CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Community Health CurrentSince Aug 15, 2025 Accepting new patients
Bay Area Community Health CurrentSince Aug 15, 2025 Accepting new patients
John Muir Physician Network CurrentSince Mar 16, 2023 Accepting new patients
Bass Medical Group Past Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

1860 Mowry Ave
Fremont, CA 94538
Phone (510) 284-4140

40910 Fremont Blvd
Fremont, CA 94538
Phone (510) 770-8133

5860 Owens Dr
Ste 220
Pleasanton, CA 94588
Phone (925) 224-0720

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1760999510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 OWENS DR STE 220",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945883980",
            "telephone_number": "925-734-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTINTY",
        "first_name": "PADMAJA",
        "middle_name": "SHYAMALA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.