DR. JOHN JOSEPH PRENDERGAST (NPI# 1417904855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417904855 |
| Entity Type | Individual |
| Full Name | DR. JOHN JOSEPH PRENDERGAST |
| Credential | M.D. |
| Practice Address |
350 Cambridge Ave. Suite 250 Palo Alto CA 94306-1550 |
| Mailing Address |
350 Cambridge Ave Suite 250 Palo Alto CA 94306-1550 |
| Practice Telephone | 6505669810 |
| Practice Fax Number | 6505669825 |
| Mailing Telephone | 6505669810 |
| Mailing Fax Number | 6505669825 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2010-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | C30758 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255560777 | John Joseph Prendergast | Marriage & Family Therapist | 900 5th Ave Ste 203, San Rafael, CA 94901-2928 | 2009-07-06 |
| 1437119757 | John M Prendergast | Legal Medicine | 1350 Locust St, Ste G102 Building C, Pittsburgh, PA 15219-4738 | 2006-03-23 |
| Street Address |
350 CAMBRIDGE AVE. SUITE 250 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94306-1550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126538 | Vasily Salov | Massage Therapist | 2313 Park Blvd, Palo Alto, CA 94306 | 2020-08-25 |
| 1568982569 | Shian Hong | Registered Nurse | 270 Grant Avenue, Palo Alto, CA 94306 | 2017-06-21 |
| 1386092229 | Woo Jung Park | Acupuncturist | 4290 Wilkie Way #c, Palo Alto, CA 94306 | 2016-06-01 |
| 1225442205 | Keiko Gill | Chiropractor | 480 California Ave Ste 103, Palo Alto, CA 94306 | 2014-06-17 |
| 1093147092 | Thuy Nguyen | Optometrist | 109 California Ave Ste D101a, Palo Alto, CA 94306 | 2013-08-01 |
| 1750685293 | Erica Mikhli | Physician Assistant | 300 Pasteur Drive Cvrb 2nd Floor, Stanford, CA 94306 | 2010-12-24 |
| 1225262553 | Rina Biren Shah | Family Medicine | 270 Grant Ave., Mayview Community Health Center, Palo Alto, CA 94306 | 2009-05-14 |
| 1669640173 | Leah Zialcita | Physical Therapist | 2345 Yale Street, Palo Alto, CA 94306 | 2008-02-19 |
| 1578761631 | Mary June Asenathe Wagner | Dentist | 1795 El Camino Real #100, Palo Alto, CA 94306 | 2007-07-10 |
| 1972628923 | Lillian Landsman Burt | Social Worker | 2 Roosevelt Circle, Palo Alto, CA 94306 | 2007-03-20 |
| Find all providers in zip 94306 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043774300 | Crossover Health Medical Group | Specialist | 1501 Page Mill Rd, Palo Alto, CA 94304-1126 | 2019-01-30 |
| 1992172746 | Robert Young | Specialist | 1167 Greenwood Ave, Palo Alto, CA 94301-3411 | 2015-08-27 |
| 1568732386 | Bernard A Cooper | Specialist | 2554 Webster St, Palo Alto, CA 94301-4249 | 2012-01-10 |
| 1811150576 | Eleonora G Lad | Specialist | 1120 Welch Rd Apt 231, Palo Alto, CA 94304-1922 | 2008-07-02 |
| 1568630911 | Sarah Anne Niswonger | Specialist | 725 Welch Rd # Mc5952, Palo Alto, CA 94304-1601 | 2008-02-19 |
| 1609057884 | David Jean-guy Boudreault | Specialist | 1515 El Camino Real Ste C, Palo Alto, CA 94306-1000 | 2007-11-16 |
| 1245440379 | Ralph Steven Lachman | Specialist | 325 Channing Ave, #111, Palo Alto, CA 94301-2763 | 2007-05-24 |
| 1750414421 | Rachel Feinberg | Specialist | 825 El Camino Real, Palo Alto, CA 94301-2303 | 2007-03-13 |
| 1285764944 | Nancy Bishop-abney | Specialist | 3401 Miranda Ave., Palo Alto, CA 94304 | 2007-03-06 |
| 1922140235 | Thomas Murray Krummel | Specialist | 701b Welch Road, Suite 225, Palo Alto, CA 94304 | 2007-02-13 |
| Find all providers in PALO ALTO | ||||
Please comment or provide details below to improve the information on DR. JOHN JOSEPH PRENDERGAST.
| 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.