Active NPI
Sheila Vinod Patwardhan, DMD
- Endodontics
- San Francisco, CA
National Provider Identifier
1831343250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 60694
- Practice address
- 2480 Mission St
Suite 333
San Francisco, CA 94110-2468 - Phone
- (626) 676-0370
- NPI assigned
- Nov 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 60694 | CA | Primary |
Addresses
Primary practice location
2480 Mission St
Suite 333
San Francisco, CA 94110-2468
Mailing address
777 Autumn Dr
Walnut Creek, CA 94598-4352
Phone (626) 676-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60694 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329696000000",
"number": "1831343250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 AUTUMN DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945984352",
"telephone_number": "626-676-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 MISSION ST",
"address_2": "SUITE 333",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102468",
"telephone_number": "626-676-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATWARDHAN",
"first_name": "SHEILA",
"middle_name": "VINOD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2012-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "60694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.