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Malini Bharadvaj Madanahalli, MD

Geriatric Medicine · Los Altos

NPI 1457420929

Medicare standing
1 flag on the record
Listed below.
Plans that list them
1
1 carrier
Offices
3

On the public record

  • 1 Medical Board action on record

Offices

3 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: 055316. That is not proof they admit you there this week.

Plans that list them

1 plan · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Madanahalli’s office to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

Plans whose provider directory lists this clinician
DualConnect (HMO D-SNP)Santa Clara Family Health PlanListedSep 1, 2026

California Medical Board record

Licence A63947 · Current

Licensed to practise in California · since 1997 · expires 2027-01-31 · Karnatak University Government Medical College Aka Gulbarga University, Government Medical College. Board flags: Probation Completed.

Public record actions

Actions the Medical Board of California publishes for this licence
2019-04-26Board disciplineDisciplineProbation completed. · 03 2013232777

Original Medicare doctor bills

$81,345

Medicare paid this office $81,345 for 182 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes73$30,200$141
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more75$14,498$165
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes44$7,669$98
Nursing facility discharge management, more than 30 minutes57$7,053$118
Long return visit (40+ min)34$6,141$140
See all 7 services
Every Original Medicare service billed
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes73$30,200$141
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more75$14,498$165
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes44$7,669$98
Nursing facility discharge management, more than 30 minutes57$7,053$118
Long return visit (40+ min)34$6,141$140
Return visit (30+ min)34$5,864$109
New patient visit (60+ min)26$4,630$178

Who their Medicare patients are

182 Original Medicare patients in 2024. Average age 82 · 85 and older 40% · Women 58% · Also on Medicaid 23% · Health risk score 1.69. At or below the middle of the specialty; the typical geriatric medicine clinician is at 1.84.

Conditions among them: High blood pressure 75% · Depression 52% · Dementia 51% · Coronary heart disease 42% · Chronic kidney disease 40% · Diabetes 35% · Atrial fibrillation 34% · Heart failure 31% · Cancer 23% · Stroke 18% · COPD 17%.

The office billed $278,419, Medicare allowed $106,478 and paid $81,345; for 614 services of 15 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024182614821.69$278,419$81,345
2023187561851.59$228,358$69,608
2022181797851.35$301,991$88,906
2021164739851.31$270,459$83,039
2020156599851.49$180,471$57,624
20193953821.76$28,401$3,114
20183471811.52$2,329$834
201761161791.96$105,764$9,917
2016100313801.79$148,231$23,081
201579184791.78$47,465$10,916
20138190801.31$20,021$2,949

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 13 services

Original Medicare services billed in 2023
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes33$10,156$141
Return visit (30+ min)58$9,845$107
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes19$7,672$145
Long return visit (40+ min)32$7,323$174
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more38$6,823$166
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes38$5,668$94
New patient visit (60+ min)26$5,234$201
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more19$3,753$171
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes15$3,440$101
Nursing facility discharge management, more than 30 minutes19$2,303$121
Nursing facility discharge management, more than 30 minutes16$1,962$123
Advance care planning, first 30 minutes16$1,222$68
Short return visit (20+ min)14$1,123$80

2022: 14 services

Original Medicare services billed in 2022
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes54$15,506$124
Long return visit (40+ min)54$13,818$164
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes54$12,780$86
Return visit (30+ min)56$10,501$117
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more47$8,236$153
New patient visit (60+ min)39$6,905$177
Nursing facility discharge management, more than 30 minutes51$5,311$97
Extended patient service without direct patient contact, first hour36$3,581$97
Advance care planning, first 30 minutes26$2,577$76
Short return visit (20+ min)15$1,241$83
Advance care planning, first 30 minutes17$1,216$72
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more13$1,206$60
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage16$1,124$70
Administration of influenza virus vaccine17$643$38

2021: 12 services

Original Medicare services billed in 2021
Long return visit (40+ min)56$16,658$172
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes42$15,538$124
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes43$14,609$84
New patient visit (60+ min)39$7,853$201
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more50$7,791$156
Return visit (30+ min)36$6,287$119
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more19$3,043$59
Nursing facility discharge management, more than 30 minutes29$2,855$98
Extended patient service without direct patient contact, first hour20$2,074$94
Advance care planning, first 30 minutes13$1,216$81
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or13$436$31
Administration of influenza virus vaccine12$262$22

2020: 14 services

Original Medicare services billed in 2020
Subsequent nursing facility care with moderate level of medical decision making, per day at least 30 minutes51$12,513$89
Subsequent nursing facility care with straightforward level of medical decision making, per day 20 minutes or more43$7,847$66
Long return visit (40+ min)31$6,253$142
New patient visit (60+ min)22$4,420$201
Return visit (30+ min)29$4,406$107
Subsequent nursing facility care with high level of medical decision making, per day at least 45 minutes14$3,409$131
Initial nursing facility care with high level of medical decision making, per day 50 minutes or more20$3,308$158
Nursing facility discharge management, more than 30 minutes21$2,475$99
Extended patient service without direct patient contact, first hour22$2,263$98
Initial nursing facility care with moderate level of medical decision making, per day at least 35 minutes17$2,202$122
New patient visit (45+ min)13$2,072$159
Advance care planning, first 30 minutes15$1,906$83
Influenza vaccine split virus, preservative free24$1,464$61
Administration of influenza virus vaccine24$502$21

2019: 1 service

Original Medicare services billed in 2019
Return visit (30+ min)18$1,886$105

2018: 2 services

Original Medicare services billed in 2018
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage30$560$19
Administration of influenza virus vaccine30$147$5

2017: 3 services

Original Medicare services billed in 2017
Return visit (30+ min)44$5,024$54
Long return visit (40+ min)28$4,260$82
Short return visit (20+ min)12$392$33

2016: 3 services

Original Medicare services billed in 2016
Long return visit (40+ min)54$12,017$88
Return visit (30+ min)74$10,563$64
Short return visit (20+ min)11$501$46

2015: 4 services

Original Medicare services billed in 2015
Return visit (30+ min)45$4,460$67
Long return visit (40+ min)24$3,605$90
Short return visit (20+ min)34$1,803$43
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage11$196$18

2013: 1 service

Original Medicare services billed in 2013
Return visit (30+ min)70$2,331$32

Medicaid work

$506 in 2023

Medicaid paid $506 for 27 billed services this clinician did in 2023, up to 13 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2023
SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES27$506
Medicaid work by year
202327113$506
20191,206654$103,283
2018825445$76,665
See the largest Medicaid services in earlier years

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive548$103,074
Return visit (30+ min)438$209
Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use21$0
Short return visit (20+ min)22$0
Administration of influenza virus vaccine12$0
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit165$0

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive407$76,423
Return visit (30+ min)232$162
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit170$80
Long return visit (40+ min)16$0

Drugs they prescribed that Part D paid

$30,941

Pharmacies billed $30,941 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

773 generic and fewer than 11 brand-name prescriptions · $30,941 in drug cost · 22 antibiotic prescriptions to 12 people · 49 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Eliquis16$6,919$432
Quetiapine34$1,477$43
Atorvastatin50$1,136$23
Sertraline52$566$11
Donepezil25$504$20
See all 23 drugs
Every Part D drug this clinician prescribed
Eliquis16$6,919$432
Quetiapine34$1,477$43
Atorvastatin50$1,136$23
Sertraline52$566$11
Donepezil25$504$20
Amlodipine Besylate46$482$10
Mirtazapine27$443$16
Latanoprost14$413$29
Escitalopram33$307$9
Furosemide56$277$5
Gabapentin27$262$10
Famotidine19$250$13
Clopidogrel15$247$16
Levothyroxine25$220$9
Losartan15$209$14
Lisinopril13$175$13
Carvedilol26$142$5
Hydralazine14$127$9
Oxybutynin Chloride11$109$10
Trazodone22$103$5
Ezetimibe11$95$9
Finasteride11$75$7
Tamsulosin17$74$4

Year by year

Part D prescribing by year
2024878127NoneNone$30,941
20231,37093NoneNone$59,327
20221,31480NoneNone$57,646
20211,37767None17%$58,353
20201,0291723% (29)18%$62,619
20192,6342724% (110)18%$200,357
20181,6892585% (78)19%$118,104
20171,0921415% (50)None$60,044
20168441517% (58)None$45,854
201529710213% (38)None$13,103
201479150% (0)None$2,872
20131,3441603% (34)16%$64,088

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 37 drugs

Part D drugs prescribed in 2023
Eliquis22$6,983$317
Jentadueto21$5,720$272
Aripiprazole25$5,643$226
Atorvastatin97$2,682$28
Memantine Hcl Er13$1,608$124
Donepezil43$1,331$31
Divalproex21$1,240$59
Quetiapine50$1,181$24
Desvenlafaxine Succinate Er12$1,169$97
Escitalopram81$1,146$14
Mirtazapine35$1,093$31
Olanzapine12$993$83
Losartan28$955$34
Famotidine31$816$26
Carbidopa-Levodopa22$806$37
Furosemide85$736$9
Levothyroxine56$723$13
Doxycycline Hyclate16$685$43
Latanoprost22$663$30
Gabapentin34$656$19
Fluoxetine23$636$28
Lisinopril56$631$11
Buspirone33$622$19
Duloxetine17$586$34
Tamsulosin20$473$24
Sertraline25$464$19
Alendronate21$444$21
Propranolol25$431$17
Amlodipine Besylate42$420$10
Lamotrigine15$402$27
Trazodone33$259$8
Oxybutynin Chloride24$248$10
Metoprolol19$235$12
Potassium Chloride16$230$14
Hydrochlorothiazide11$130$12
Sulfasalazine13$121$9
Prednisone12$89$7

2022: 36 drugs

Part D drugs prescribed in 2022
Aripiprazole26$5,452$210
Jentadueto19$4,464$235
Januvia15$3,967$264
Mirtazapine53$3,211$61
Atorvastatin111$2,845$26
Quetiapine65$1,674$26
Memantine Hcl Er12$1,483$124
Olanzapine20$1,343$67
Donepezil50$1,231$25
Escitalopram71$1,105$16
Fluoxetine23$791$34
Levothyroxine60$754$13
Nystop15$693$46
Carbidopa-Levodopa24$627$26
Buspirone35$611$17
Losartan25$598$24
Duloxetine14$590$42
Sertraline33$572$17
Latanoprost23$545$24
Diltiazem 24hr Er25$533$21
Alendronate25$532$21
Furosemide60$519$9
Lisinopril37$504$14
Amlodipine Besylate48$457$10
Propranolol23$392$17
Pantoprazole11$390$35
Metoprolol12$347$29
Acarbose12$326$27
Trazodone20$159$8
Bupropion12$143$12
Cephalexin17$135$8
Triamcinolone Acetonide15$134$9
Potassium Chloride14$124$9
Atenolol12$107$9
Gabapentin11$97$9
Hydrochlorothiazide12$94$8

2021: 41 drugs

Part D drugs prescribed in 2021
Januvia28$7,194$257
Aripiprazole21$4,907$234
Atorvastatin114$3,051$27
Mirtazapine51$2,394$47
Insulin Lispro16$2,382$149
Olanzapine32$2,134$67
Quetiapine82$1,831$22
Memantine Hcl Er12$1,483$124
Donepezil54$1,223$23
Desvenlafaxine Succinate Er11$1,071$97
Clopidogrel31$918$30
Losartan32$819$26
Escitalopram52$727$14
Levothyroxine71$662$9
Buspirone37$646$17
Alendronate30$615$20
Amlodipine Besylate68$601$9
Lisinopril40$562$14
Sertraline32$523$16
Furosemide57$493$9
Carbidopa-Levodopa17$478$28
Famotidine18$432$24
Latanoprost18$424$24
Diltiazem 24hr Er18$401$22
Metoprolol11$335$30
Acarbose13$327$25
Clotrimazole12$316$26
Trazodone24$281$12
Carvedilol15$275$18
Oxybutynin Chloride Er12$270$22
Metoprolol20$266$13
Nystop11$256$23
Omeprazole15$243$16
Metformin19$232$12
Cephalexin16$188$12
Risperidone15$183$12
Triamcinolone Acetonide15$175$12
Bupropion14$171$12
Glipizide13$144$11
Atenolol12$123$10
Hydrochlorothiazide12$94$8

2020: 28 drugs

Part D drugs prescribed in 2020
Xarelto13$7,363$566
Insulin Lispro11$1,540$140
Levothyroxine51$1,018$20
Atorvastatin63$890$14
Mirtazapine22$622$28
Losartan47$619$13
Quetiapine24$477$20
Donepezil33$373$11
Gabapentin21$364$17
Risperidone15$307$20
Pantoprazole15$258$17
Atenolol23$243$11
Omeprazole17$228$13
Furosemide33$196$6
Glipizide14$181$13
Amlodipine Besylate45$178$4
Metoprolol18$172$10
Simvastatin28$170$6
Escitalopram15$146$10
Citalopram Hbr17$125$7
Metformin22$124$6
Triamcinolone Acetonide14$118$8
Trazodone12$114$10
Tamsulosin12$111$9
Alendronate13$108$8
Hydrochlorothiazide11$97$9
Prednisone14$83$6
Tramadol11$41$4

2019: 57 drugs

Part D drugs prescribed in 2019
Xarelto37$23,805$643
Lantus19$9,700$511
Novolog24$9,396$392
Advair Diskus21$7,484$356
Novolog Flexpen13$6,605$508
Symbicort16$6,442$403
Atrovent Hfa14$5,422$387
Pradaxa12$5,047$421
Isosorbide Dinitrate16$2,849$178
Ventolin Hfa39$2,225$57
Levothyroxine79$2,127$27
Gabapentin86$1,849$22
Atorvastatin124$1,661$13
Mirtazapine25$1,645$66
Memantine29$1,594$55
Voltaren32$1,430$45
Losartan99$1,271$13
Escitalopram31$1,003$32
Donepezil59$987$17
Diclofenac36$972$27
Tamsulosin35$969$28
Amlodipine Besylate118$911$8
Fosinopril39$879$23
Hydrocodone-Acetaminophen59$874$15
Metformin89$853$10
Proair Hfa13$804$62
Metoprolol15$613$41
Omeprazole54$609$11
Simvastatin88$609$7
Metoprolol58$590$10
Pantoprazole39$570$15
Hydralazine18$553$31
Nitroglycerin21$504$24
Triamcinolone Acetonide58$455$8
Citalopram Hbr45$424$9
Atenolol47$422$9
Fluticasone Propionate39$413$11
Benazepril32$403$13
Isosorbide Mononitrate Er18$396$22
Sertraline30$357$12
Fentanyl11$345$31
Glipizide29$332$11
Pravastatin15$305$20
Clopidogrel28$295$11
Ranitidine18$295$16
Furosemide47$294$6
Hydrochlorothiazide37$288$8
Finasteride16$279$17
Hydrocortisone13$277$21
Trazodone21$256$12
Quetiapine13$253$19
Alendronate23$252$11
Lisinopril25$184$7
Risperidone12$183$15
Levocetirizine Dihydrochloride11$122$11
Tramadol23$87$4
Lorazepam13$53$4

2018: 46 drugs

Part D drugs prescribed in 2018
Xarelto22$12,824$583
Advair Diskus20$6,685$334
Spiriva Respimat11$4,141$376
Novolog14$4,050$289
Symbicort12$3,440$287
Isosorbide Dinitrate13$2,255$173
Ventolin Hfa26$1,376$53
Gabapentin48$1,234$26
Levothyroxine40$1,217$30
Voltaren24$1,093$46
Memantine11$1,078$98
Atorvastatin68$1,062$16
Hydrocodone-Acetaminophen40$837$21
Fentanyl12$759$63
Tamsulosin16$665$42
Losartan56$659$12
Polyethylene Glycol 335016$587$37
Nyamyc12$530$44
Donepezil35$528$15
Hydralazine21$520$25
Escitalopram28$499$18
Omeprazole44$431$10
Diclofenac14$383$27
Triamcinolone Acetonide38$373$10
Metformin46$359$8
Amlodipine Besylate65$358$6
Fosinopril18$353$20
Metoprolol39$321$8
Sertraline22$313$14
Nitroglycerin13$308$24
Benazepril25$299$12
Simvastatin52$295$6
Pantoprazole19$291$15
Hydrochlorothiazide27$289$11
Olanzapine37$280$8
Hydrocortisone11$208$19
Clopidogrel16$195$12
Carvedilol18$179$10
Atenolol17$170$10
Fluticasone Propionate20$160$8
Citalopram Hbr26$149$6
Furosemide24$143$6
Glipizide18$126$7
Trazodone15$126$8
Tramadol16$90$6
Ibuprofen11$52$5

2017: 26 drugs

Part D drugs prescribed in 2017
Novolog Flexpen11$7,362$669
Advair Diskus11$3,215$292
Diclofenac15$1,064$71
Levothyroxine33$941$29
Fentanyl16$903$56
Voltaren16$803$50
Atorvastatin35$578$17
Hydrocodone-Acetaminophen22$574$26
Olanzapine79$434$5
Omeprazole29$402$14
Triamcinolone Acetonide24$380$16
Losartan24$379$16
Amlodipine Besylate83$371$4
Donepezil26$340$13
Hydralazine22$327$15
Gabapentin21$302$14
Hydrochlorothiazide25$252$10
Sertraline12$226$19
Metoprolol25$205$8
Benazepril19$201$11
Simvastatin35$197$6
Metformin13$180$14
Fluticasone Propionate15$174$12
Furosemide23$122$5
Carvedilol15$110$7
Citalopram Hbr26$80$3

2016: 23 drugs

Part D drugs prescribed in 2016
Advair Diskus14$4,429$316
Hydrocodone-Acetaminophen31$937$30
Levothyroxine26$741$29
Omeprazole33$367$11
Simvastatin39$276$7
Gabapentin18$250$14
Clonidine13$245$19
Atorvastatin14$232$17
Triamcinolone Acetonide27$202$7
Benazepril16$180$11
Hydralazine11$178$16
Fluticasone Propionate18$175$10
Metoprolol24$173$7
Amlodipine Besylate38$162$4
Metformin16$153$10
Hydrochlorothiazide17$148$9
Donepezil14$141$10
Olanzapine16$134$8
Furosemide16$109$7
Ciprofloxacin12$95$8
Sertraline12$81$7
Citalopram Hbr17$75$4
Atenolol14$67$5

2015: 5 drugs

Part D drugs prescribed in 2015
Fentanyl11$1,035$94
Escitalopram14$536$38
Hydrocodone-Acetaminophen17$521$31
Metoprolol11$85$8
Furosemide11$45$4

2014: 2 drugs

Part D drugs prescribed in 2014
Lantus Solostar24$1,719$72
Escitalopram13$237$18

2013: 32 drugs

Part D drugs prescribed in 2013
Nexium17$3,741$220
Gabapentin27$1,421$53
Atorvastatin31$1,360$44
Simvastatin98$1,248$13
Tamsulosin29$1,237$43
Omeprazole38$880$23
Potassium Chloride24$801$33
Amlodipine Besylate75$754$10
Nifedipine Er12$613$51
Levothyroxine50$570$11
Metoprolol38$546$14
Fosinopril25$491$20
Metformin37$486$13
Clopidogrel17$484$28
Fluticasone Propionate17$458$27
Mirtazapine22$455$21
Benazepril28$435$16
Nabumetone11$385$35
Atenolol65$379$6
Hydrocodone-Acetaminophen19$330$17
Phenytoin Sodium Extended13$259$20
Alendronate18$258$14
Finasteride12$257$21
Hydrochlorothiazide53$257$5
Ranitidine20$252$13
Glipizide23$216$9
Furosemide34$200$6
Triamcinolone Acetonide16$133$8
Zolpidem11$130$12
Citalopram Hbr14$129$9
Trazodone15$125$8
Doxazosin Mesylate11$120$11

Money from drug and device companies

$125 in 2024

Industry payments by year
202411None$125
201911None$61

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
EisaiLeqembi$125
1 payment
  • Meals for Leqembi · 2024-07-24 · $125
See the published payment
Every published payment
EisaiMeals · 2024-07-24Leqembi$125
See earlier years (2019)

2019: $61

Payments by company in 2019
Scilex PharmaceuticalsZtlido 30 Pouch in 1 Carton 1 Patch in 1 Pouch$61
1 payment
  • Meals for Ztlido 30 Pouch in 1 Carton 1 Patch in 1 Pouch · 2019-04-13 · $61

Professional record

NPI
1457420929
Licence
CA A63947California A63947: Current · expires 2027-01-31
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Medicaid ID
CA 00A639470
Taxonomy
Federal specialty code 207RG0300X (207RG0300X)
Mailing address
325 Distel Cir, Los Altos, CA, 94022
NPI first listed
2006-11-07
NPI last updated
2020-06-04
NPI record certified
2020-06-04

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 2400 Moorpark Ave, San Jose, CA, 95128