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GURPREET K PADAM MD PC
NPI 1104674407
Family Medicine - Hospice and Palliative Medicine in San Mateo, CA

Active since May 10, 2024CLIA 05D2315897 · Waiver
101 S SAN MATEO DR STE 106, SAN MATEO, CA 94401(650) 360-9309 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 21, 2025, Sep 13, 2024, Jul 19, 2024 and 2 more (5 updates tracked since 2024).

About Gurpreet K Padam Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GURPREET K PADAM MD PC (NPI 1104674407), doing business as California Lifestyle Medicine, is a healthcare organization registered as a hospice and palliative medicine in San Mateo, California and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Gurpreet K Padam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104674407
Entity TypeOrganization
Primary Taxonomy207QH0002X
Legal Business NameGURPREET K PADAM MD PC
Location Address101 S SAN MATEO DR STE 106San Mateo, CA 94401-3840
Mailing Address101 S San Mateo Dr Ste 106San Mateo, CA 94401-3840 · (650) 360-9309
Phone(650) 360-9309
Organization SubpartNo
Authorized OfficialGurpreet K PadamCeo · (650) 360-9309
Enumeration DateMay 10, 2024
Last NPPES UpdateMarch 21, 20255 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1104674407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QH0002X
Definition
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
101 S SAN MATEO DR STE 106, San Mateo, CA 94401
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Other Names 2

Doing Business AsCalifornia Lifestyle Medicine
Doing Business AsHome Based Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2315897

Gurpreet K Padam MD PC, Dba Home Based Medicine · San Mateo, CA
Active · expires Dec 19, 2026
CLIA Number05D2315897
Laboratory TypePractitioner Other
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorGurpreet K. Padam
Laboratory Phone(650) 360-9309
Laboratory LocationGurpreet K Padam MD PC, Dba Home Based Medicine101 S San Mateo Drive, Suite 102, San Mateo, CA 94401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GURPREET K PADAM M.D.
Family Medicine (Adult Medicine)
101 S SAN MATEO DR STE 106
SAN MATEO, CA 94401
San Mateo County (650) 360-9309

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gurpreet K Padam MD PC's NPI number?

The NPI number for Gurpreet K Padam MD PC is 1104674407. It was assigned to this organization in the NPPES registry on May 10, 2024. The provider is doing business as California Lifestyle Medicine and Home Based Medicine.

Where is Gurpreet K Padam MD PC located?

Gurpreet K Padam MD PC is located at 101 S San Mateo Dr Ste 106, San Mateo, CA 94401. The listed phone number is (650) 360-9309.

What is Gurpreet K Padam MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.

Does Gurpreet K Padam MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2315897) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gurpreet K Padam MD PC was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.