Organization Active NPI

Pacific Women'S Health Clinic, Inc

  • Medical Specialty Clinic/Center
  • Mountain View, CA
National Provider Identifier
1770801516
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
A105976 Issued in CA
Legal business name
PACIFIC WOMEN'S HEALTH CLINIC, INC
Practice address
2495 Hospital Dr Ste 505
Mountain View, CA 94040-4157
Phone
(877) 376-2496
Fax
(888) 650-6564
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Dr. Vidya Nitin Mhamunkar, MDNPI 1720311822
Title
President
Phone
(877) 376-2496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X A105976 CA Primary

Addresses

Primary practice location

2495 Hospital Dr Ste 505
Mountain View, CA 94040-4157

Mailing address

2495 Hospital Dr Ste 505
Mountain View, CA 94040-4157
Phone (877) 376-2496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100520000394 CA Part B Supplier - Clinic/Group Practice 8022147677 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain View, CA

National Provider Directory

National Provider Directory

Locations

305 South Dr
Ste 8
Mountain View, CA 94040
Phone (877) 376-2496

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1770801516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 505",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404157",
            "telephone_number": "877-376-2496",
            "fax_number": "888-650-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 HOSPITAL DR STE 505",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404157",
            "telephone_number": "877-376-2496",
            "fax_number": "888-650-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WOMEN'S HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "MHAMUNKAR",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_middle_name": "NITIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-376-2496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A105976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.