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Darshana H Vaishnav, MD

Pediatrics · San Jose

NPI 1902915622

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
2
1 carrier
Office
1

Offices

1 location

Plans that list them

2 plans · 1 carrier

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dr. Vaishnav’s office at (408) 975-2763 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
Anthem Full Dual Advantage Aligned (HMO D-SNP)Anthem Blue CrossListedOct 3, 2026
Anthem Medicare Advantage (HMO-POS)Anthem Blue CrossListedOct 3, 2026

California Medical Board record

Licence A39869 · Current

Licensed to practise in California · since 1983 · expires 2027-04-30 · University of Delhi, Maulana Azad Medical College.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

School, training and certification

What this clinician told their state board, medical school and everything before it. Only some states publish this, so nothing here means the state does not say, not that there was no training or certification.

Specialty certification

  • American Board of Pediatrics - Pediatrics

Medicaid work

$324,509 in 2024

Medicaid paid $324,509 for 2,666 billed services this clinician did in 2024, up to 105 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 2024
Clinic visit/encounter, all-inclusive616$319,811
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter127$2,014
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant101$1,423
Short return visit (20+ min)1,061$1,261
Medication list documented in medical record (COA)535$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)117$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)109$0
Medicaid work by year
20242,6667105$324,509
20234,1308153$738,529
20223,4858158$523,987
20212,62210164$430,273
20201,7428139$195,488
20195,3807233$851,045
20185,2389202$911,304
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Clinic visit/encounter, all-inclusive1,457$730,047
Short return visit (20+ min)1,153$4,330
Short return visit1,342$3,239
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter24$399
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant13$385
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique14$129
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)64$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)63$0

2022

Largest Medicaid services in 2022
Clinic visit/encounter, all-inclusive1,048$511,890
Short return visit1,820$5,386
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant95$2,964
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter66$1,682
Short return visit (20+ min)327$1,549
Service12$516
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)60$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)57$0

2021

Largest Medicaid services in 2021
Clinic visit/encounter, all-inclusive878$424,059
Short return visit (20+ min)678$2,102
Short return visit899$1,791
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), amplified probe technique43$833
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant16$550
Service12$516
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter14$421
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)15$0
Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)34$0
Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)33$0

2020

Largest Medicaid services in 2020
Clinic visit/encounter, all-inclusive555$185,143
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant109$3,481
Short return visit (20+ min)816$2,350
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter88$2,184
Service40$1,721
Subsequent hospital care, per day, for evaluation and management of normal newborn15$225
Short return visit104$222
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only15$162

2019

Largest Medicaid services in 2019
Clinic visit/encounter, all-inclusive2,487$837,278
Short return visit (20+ min)1,939$6,593
Service54$2,324
Short return visit792$2,322
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter66$1,514
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant30$876
Subsequent hospital care, per day, for evaluation and management of normal newborn12$139

2018

Largest Medicaid services in 2018
Clinic visit/encounter, all-inclusive2,661$886,186
Service153$6,584
Short return visit1,386$5,159
Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant124$4,852
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter126$3,836
Short return visit (20+ min)665$2,947
Subsequent hospital care, per day, for evaluation and management of normal newborn92$1,728
MEASURE BLOOD OXYGEN LEVEL17$12
Unclassified drugs14$0

Professional record

NPI
1902915622
Licence
CA A39869California A39869: Current · expires 2027-04-30
More record details
Sole proprietor
No
Medicaid ID
CA 00A398690
Taxonomy
Pediatrics (208000000X)
Mailing address
2400 Moorpark Ave, Suite 319, San Jose, CA, 95128
NPI first listed
2006-08-29
NPI last updated
2007-07-08

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