POONAM PATEL (NPI# 1841734985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841734985 |
| Entity Type | Individual |
| Full Name | POONAM PATEL |
| Other Name | POONAM GANDHI |
| Practice Address |
3801 Miranda Ave Palo Alto CA 94304 |
| Mailing Address |
3801 Miranda Ave Palo Alto CA 94304-1207 |
| Practice Telephone | 6504935000 |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95005624 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95005624 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2516 Samaritan Dr, Suite M, San Jose, CA 951244108 | 4083565900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496864 | Poonam A Patel | Counselor | 2916 Clairmont Rd Ne Apt 2413, Brookhaven, GA 30329-4476 | 2020-10-29 |
| 1417451725 | Poonam D Patel | Counselor | 14 Farber Rd Ste 112, Princeton, NJ 08540-5913 | 2018-03-21 |
| 1831488196 | Poonam Patel | Emergency Medicine | 1830 E Monument St Ste 6-100, Baltimore, MD 21287-0020 | 2011-04-06 |
| 1356957344 | Poonam Patel | Nurse Practitioner | 2223 Grant St, Malvern, AR 72104-4700 | 2020-09-16 |
| 1306466727 | Poonam Patel | Student in an Organized Health Care Education/Training Program | 1125 N Church St, Greensboro, NC 27401-1007 | 2020-04-27 |
| 1770005902 | Poonam Patel | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2017-07-10 |
| 1174053540 | Poonam Patel | Pharmacist | 19200 N Kelsey St, Monroe, WA 98272-1431 | 2017-06-18 |
| 1720430622 | Poonam Patel | Physician Assistant | 1600 E High St, Pottstown, PA 19464-5008 | 2016-07-05 |
| 1548545452 | Poonam Patel | Pharmacist | 4395 Kimball Bridge Rd, Alpharetta, GA 30022-4409 | 2011-10-12 |
| 1295022127 | Poonam Patel | Optometrist | 850 E Golf Rd, Schaumburg, IL 60173-4502 | 2011-06-29 |
| Street Address |
3801 MIRANDA AVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405449 | John Paul Lavelle | Urology | 3801 Miranda Ave, B3-117 Bldg 100 Urology (#112), Palo Alto, CA 94304-1207 | 2005-05-27 |
| 1437750619 | Ashley Ando | Respiratory Therapist, Registered | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-11-04 |
| 1265032783 | Jim Le | Occupational Therapist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-10-26 |
| 1497354484 | Laura Renee Zimmerman | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-10-21 |
| 1891300810 | Clark Dan Ma | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-09-15 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1790397362 | Gihun Kim | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1750993309 | Jessica Tran | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-17 |
| 1083226500 | Danielle Jean Fox | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1290 | 2020-08-17 |
| 1346851078 | Alice Lin | Pharmacist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144240722 | Rosemary Mccaffrey Gill | Nurse Practitioner | 3801 Miranda Ave # 11c, Palo Alto, CA 94304-1207 | 2006-07-19 |
| 1083654750 | Marie Macy | Nurse Practitioner | Va Medical Center Mail Code 112-c, 3801 Miranda Ave, Palo Alto, CA 94304 | 2006-06-08 |
| 1205460243 | Caitlin Schubmehl | Nurse Practitioner | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2020-02-28 |
| 1942844048 | Roxanne A Espaldon | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2019-10-31 |
| 1164077665 | Tricia S Marcos | Nurse Practitioner | 875 Blake Wilbur Dr, Palo Alto, CA 94304-2205 | 2019-08-02 |
| 1710457395 | Eddalee Tolentino | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2018-11-27 |
| 1316451396 | Michelle Susan Melendez | Nurse Practitioner | 211 Quarry Rd # 402, Palo Alto, CA 94304-1416 | 2017-11-28 |
| 1437573516 | Dana Rose Heirich | Nurse Practitioner | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2014-02-11 |
| 1578819629 | Tiffany J. Riser | Nurse Practitioner | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2012-07-26 |
| 1063782209 | Alison Jane Holmes Tisch | Nurse Practitioner | 875 Blake Wilbur Dr, Clinic B, Palo Alto, CA 94304-2205 | 2012-01-05 |
| Find all providers in PALO ALTO | ||||
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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.