Individual provider Active NPI

Nikhil Daniel Majumdar, M.D.

  • Psychiatry Physician
  • San Rafael, CA
National Provider Identifier
1982818480
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A116593 Issued in CA
Practice address
361 3Rd St Ste a
San Rafael, CA 94901-3580
Phone
(415) 612-1908
Fax
(415) 612-1909
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 4301095166 MI
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X A116593 CA
Psychiatry Physician 2084P0800X 4301095166 MI
Psychiatry Physician 2084P0800X A116593 CA Primary

Addresses

Primary practice location

361 3Rd St Ste a
San Rafael, CA 94901-3580

Mailing address

64 Marie St
Sausalito, CA 94965-1864
Phone (650) 273-6042

Other practice location 1

360 Post St Ste 500
San Francisco, CA 94108-4908
Phone (415) 213-2540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000203 CA Practitioner - Psychiatry 7911064472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

360 Post St
Suite 1000
San Francisco, CA 94108-4913
Phone (415) 964-5137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
116593CAMDMarriage & Family Therapist
A116593CAMDAddiction Medicine (Psychiatry & Neurology) Physician
4301095166MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Dec 16, 2015 Accepting new patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Feb 5, 2018 Accepting new patients
University of California SFGH Medical Group Psychiatry CurrentSince Dec 16, 2015 Accepting new patients

Locations

1860 El Camino Real
Ste 250
Burlingame, CA 94010
Phone (650) 449-8718

3300 Webster St
Ste 402
Oakland, CA 94609
Phone (510) 451-6020

3300 Webster St
Ste 803
Oakland, CA 94609

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Rm 7M
San Francisco, CA 94110
Phone (415) 206-5612

360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137

350 Parnassus Ave
Ste 201
San Francisco, CA 94117
Phone (415) 964-5137

361 3rd St
Ste A
San Rafael, CA 94901
Phone (415) 612-1908

Organizations & group practices 3

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1982818480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MARIE ST",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651864",
            "telephone_number": "650-273-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 3RD ST STE A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013580",
            "telephone_number": "415-612-1908",
            "fax_number": "415-612-1909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Post St Ste 500",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941084908",
            "country_code": "US",
            "telephone_number": "415-213-2540",
            "fax_number": "415-964-5419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAJUMDAR",
        "first_name": "NIKHIL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MI",
            "license": "4301095166",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A116593",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301095166",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A116593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.