Saroja Gopalan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A30294 Issued in CA

Practice address

500 Tully Rd
Pediatric Clinic
San Jose, CA 95111-1917

Phone

(408) 817-1419

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780798736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18432 SWARTHMORE DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704717",
            "telephone_number": "408-885-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TULLY RD",
            "address_2": "PEDIATRIC CLINIC",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111917",
            "telephone_number": "408-817-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOPALAN",
        "first_name": "SAROJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A30294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A302940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana Victoria Goodwin
• Visakha Goonewardena, M.D
• Mala Gopal, DR.
• Hansaa Nandhinni Gopalakrishnan, MD
• Nirmala Gopalan, MD
• Sreepriya Gopalkrishnan, M.D.
• Umamaheswari Gopalrathnam, M.D
• Neha Goraksh
• Gordon R. Cohen, M.D., Inc.
• Calvin O. Gordon, MD

• Pediatrics Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.