Individual provider Active NPI

Gwendolyn M Stritter, MD

  • Pain Medicine (Anesthesiology) Physician
  • Portola Valley, CA
National Provider Identifier
1902087828
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G58915 Issued in CA
Practice address
1235 Las Trancos Rd
Portola Valley, CA 94028-8125
Phone
(650) 851-0377
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X G58915 CA Primary

Addresses

Primary practice location

1235 Las Trancos Rd
Portola Valley, CA 94028-8125

Mailing address

1235 Las Trancos Rd
Portola Valley, CA 94028-8125
Phone (650) 851-0377

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
G58915CAMDPain Medicine (Anesthesiology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1902087828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 LAS TRANCOS RD",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940288125",
            "telephone_number": "650-851-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 LAS TRANCOS RD",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940288125",
            "telephone_number": "650-851-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRITTER",
        "first_name": "GWENDOLYN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G58915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.