Individual provider Active NPI

VJ Periyakoil

  • Geriatric Medicine (Internal Medicine) Physician
  • Palo Alto, CA
National Provider Identifier
1942248133
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A055772 Issued in CA
Practice address
3801, Miranda Avenue
100-2C
Palo Alto, CA 94304
Phone
(650) 493-5000
NPI assigned
Jun 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A055772 CA Primary

Addresses

Primary practice location

3801, Miranda Avenue
100-2C
Palo Alto, CA 94304

Mailing address

3801, Miranda Avenue
100-2C
Palo Alto, CA 94304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140715000820 CA Order and Referring Only - Hospice/Palliative CarePractitioner - Hospice/Palliative Care 8224253836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A055772CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ravenswood Family Health CenterEast Palo Alto, CA, CCN 551946 Federally qualified health center Corporate Director Jan 15, 2019
Mayview Community Health Center Palo Alto, a Member of Ravenswood FamiPalo Alto, CA, CCN 551050 Federally qualified health center Corporate Director Jan 15, 2019
Mayview Community Health Center Mountain View a Member of RaMountain View, CA, CCN 551084 Federally qualified health center Corporate Director Jan 15, 2019
Mayview Community Health Center Sunnyvale, a Member of Ravenswood FamiSunnyvale, CA, CCN 551085 Federally qualified health center Corporate Director Jan 15, 2019

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942248133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801, MIRANDA AVENUE",
            "address_2": "100-2C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801, MIRANDA AVENUE",
            "address_2": "100-2C",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIYAKOIL",
        "first_name": "VJ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A055772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.