NPIMap

Individual provider Active NPI

Vandana Boparai, MD

  • Internal Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1851432652
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A98473 Issued in CA
Practice address
5725 W Las Positas Blvd
Suite 110
Pleasanton, CA 94588-4054
Phone
(925) 416-6767
Fax
(925) 416-6790
NPI assigned
Feb 12, 2007
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A98473 CA Primary

Addresses

Primary practice location

5725 W Las Positas Blvd
Suite 110
Pleasanton, CA 94588-4054

Mailing address

5725 W Las Positas Blvd
Suite 110
Pleasanton, CA 94588-4054
Phone (925) 416-6767

Other identifiers 1

IdentifierTypeStateIssuer
A98473OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080519000537 CA Practitioner - Internal Medicine 0143399063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

5725 W Las Positas Blvd
Suite 110
Pleasanton, CA 94588-4016
Phone (925) 416-6767

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98473CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Internal Medicine CurrentSince Jun 1, 2015 Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
Affinity Medical Group Past Accepting new patients
Bay Imaging Consultants Medical Group Inc Past Accepting new patients

Locations

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5568 Gibraltar Dr
Pleasanton, CA 94588
Phone (925) 534-6500

5725 W Las Positas Blvd
Ste 110
Pleasanton, CA 94588
Phone (925) 416-6767

Interoperability endpoints

  • Direct secure messaging: vboparai146700@direct.stanfordhealthcare.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1851432652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 W LAS POSITAS BLVD",
            "address_2": "SUITE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884054",
            "telephone_number": "925-416-6767",
            "fax_number": "925-416-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 W LAS POSITAS BLVD",
            "address_2": "SUITE 110",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945884054",
            "telephone_number": "925-416-6767",
            "fax_number": "925-416-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPARAI",
        "first_name": "VANDANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A98473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A98473",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.