Gary Wynbrandt, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G33360 Issued in CA

Practice address

899 Santa Cruz Ave
Suite #200
Menlo Park, CA 94025

Phone

(650) 327-6173

Fax

(650) 325-1746

NPI assigned

Feb 26, 2007

Last updated

Dec 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 19, 2021 through May 19, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1790811321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 SANTA CRUZ AVE",
            "address_2": "SUITE #200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-327-6173",
            "fax_number": "650-325-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 SANTA CRUZ AVE",
            "address_2": "SUITE #200",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-327-6173",
            "fax_number": "650-325-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNBRANDT",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G33360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James N. Woody, MD
• Zoe Wright, MS, CCC-SLP, IBCLC
• Hannah Rochelle Wrobel, AU.D.
• Tzuhao Wu, M.D.
• Brooke Wyatt
• Steven George Xanthopoulos, M.D.
• Zhuoli Xuan
• Andrea Elizabeth Yaley, DMD
• Helen Yau, O.D.
• Mary Katherine Yaukey, M.ED., BCBA

• Psychiatry Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.