PRADEEPA SELVAKUMAR MD INC, A CALIFORNIA PROFESSIONAL CORPORATION (NPI# 1013472950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013472950 |
| Entity Type | Organization |
| Organization Name | PRADEEPA SELVAKUMAR MD INC, A CALIFORNIA PROFESSIONAL CORPORATION |
| Practice Address |
101 S San Mateo Dr Ste 102 San Mateo CA 94401-3840 |
| Mailing Address |
2889 Baze Rd San Mateo CA 94403-3436 |
| Practice Telephone | 6504358211 |
| Practice Fax Number | 8449659436 |
| Mailing Telephone | 4157780813 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Authorized Official Name | DR. PRADEEPA SELVAKUMAR (OWNER) |
| Authorized Official Telephone | 6504358211 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | OTHER INSURANCES | 1912090226 | 01 |
| Other Name | Type Code |
|---|---|
| San Mateo Primary Care | Other Name - Individual/Organization |
| Street Address |
101 S SAN MATEO DR STE 102 |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499280 | Seema Sangwan Md Inc | Internal Medicine | 101 S San Mateo Dr Ste 102, San Mateo, CA 94401-3840 | 2019-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093166811 | James Yee | Internal Medicine | 269 Delmar Way, San Mateo, CA 94403-2312 | 2016-06-22 |
| 1902286735 | Diane Oliver | Internal Medicine | 1927 Bridgepointe Pkwy Apt 232, San Mateo, CA 94404-5005 | 2015-06-06 |
| 1285971531 | Kenneth E. Schwartz | Internal Medicine | 511 Virginia Ave, San Mateo, CA 94402-2237 | 2013-01-07 |
| 1801114111 | Mohammed Rami Bailony | Internal Medicine | 3050 S Delaware St Ste 130, San Mateo, CA 94403-2394 | 2010-05-11 |
| 1134364250 | Zahida Khan Maskatia | Internal Medicine | 101 S San Mateo Dr Ste 311, San Mateo, CA 94401 | 2008-12-03 |
| 1881843068 | John Ellsworth Vankirk | Internal Medicine | 235 Amherst Ave, San Mateo, CA 94402-2201 | 2008-09-12 |
| 1790846657 | Dina Sverdlov Md A Professional Corporation | Internal Medicine | 100 S Ellsworth Ave Ste 208, San Mateo, CA 94401-3932 | 2006-12-13 |
| 1194820688 | Gary Alan Pasternak | Internal Medicine | 1670 South Amphlett Blvd., Suite 300, San Mateo, CA 94403 | 2006-09-13 |
| 1831121425 | Amy Sawyer Daniher | Internal Medicine | 34 North San Mateo Drive #1, San Mateo, CA 94401 | 2006-07-06 |
| 1043246960 | Donald Bernard Jaffe | Internal Medicine | 505 Hurlingham Ave, San Mateo, CA 94402-1025 | 2006-06-23 |
| Find all providers in SAN MATEO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.