Individual provider Active NPI

Priyanka Kaashyap Thatipamala, MD

  • Public Health & General Preventive Medicine Physician
  • San Rafael, CA
National Provider Identifier
1881277424
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
A193300 Issued in CA
Practice address
13 Peter Behr Dr
San Rafael, CA 94903-5216
Phone
(415) 473-6651
Fax
(415) 473-7505
NPI assigned
May 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X A193300 CA Primary

Addresses

Primary practice location

13 Peter Behr Dr
San Rafael, CA 94903-5216

Mailing address

13 Peter Behr Dr
San Rafael, CA 94903-5216
Phone (415) 473-6651

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A193300CAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Marin Public Health & General Preventive Medicine CurrentSince Dec 21, 2025 Accepting new patients

Locations

13 Peter Behr Dr
San Rafael, CA 94903
Phone (415) 473-6651

Organizations & group practices 1

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": "1619913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1881277424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PETER BEHR DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035216",
            "telephone_number": "415-473-6651",
            "fax_number": "415-473-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PETER BEHR DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035216",
            "telephone_number": "415-473-6651",
            "fax_number": "415-473-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATIPAMALA",
        "first_name": "PRIYANKA",
        "middle_name": "KAASHYAP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-02",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A193300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.