Active NPI
Gwendolyn M Stritter, MD
- Pain Medicine (Anesthesiology) Physician
- Portola Valley, CA
National Provider Identifier
1902087828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G58915
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| G58915 | CA | MD | Pain 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.