Individual provider Active NPI

Reshma Rani Thadani, M.D.

  • Pediatrics Physician
  • Stanford, CA
National Provider Identifier
1811000656
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A90054 Issued in CA
Practice address
300 Pasteur Dr
Sumc - Peds Physician Billing MC: 5530
Stanford, CA 94305-2200
Phone
(650) 330-7400
Fax
(650) 321-1156
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A90054 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Sumc - Peds Physician Billing MC: 5530
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Sumc - Peds Physician Billing MC: 5530
Stanford, CA 94305-2200
Phone (650) 330-7400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081013000464 CA Practitioner - Pediatric Medicine 1658449053 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A90054CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Jan 15, 2011 Accepting new patients
South County Community Health Center Inc CurrentSince May 22, 2011 Accepting new patients
Stanford Health Care Pediatrics Current Accepting new patients
Stanford Health Care CurrentSince Sep 1, 2019 Accepting new patients
Stanford Health Care Pediatrics CurrentSince Sep 1, 2019 Accepting new patients
South County Community Health Center Inc CurrentSince May 22, 2011 Accepting new patients

Locations

1798 Bay Rd
Ste A
East Palo Alto, CA 94303
Phone (650) 330-7400

7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

300 Pasteur Dr
#5530
Stanford, CA 94305
Phone (650) 498-7391

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1811000656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "SUMC - PEDS PHYSICIAN BILLING MC: 5530",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-330-7400",
            "fax_number": "650-321-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "SUMC - PEDS PHYSICIAN BILLING MC: 5530",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-330-7400",
            "fax_number": "650-321-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THADANI",
        "first_name": "RESHMA",
        "middle_name": "RANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A90054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.