SPRINTER MEDICAL WEST PC
NPI 1184570673
Nurse Practitioner - Family in Menlo Park, CA

Active since March 06, 2026CLIA 05D2269125 · Waiver
4600 BOHANNON DR STE 100, MENLO PARK, CA 94025(209) 677-7468 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sprinter Medical West Pc NPPES

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

SPRINTER MEDICAL WEST PC (NPI 1184570673) is a healthcare organization registered as a family in Menlo Park, California and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Arun Villivalam, President, as its authorized official.

NPPES Registry Identity

NPI1184570673
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSPRINTER MEDICAL WEST PC
Location Address4600 BOHANNON DR STE 100Menlo Park, CA 94025-1037
Mailing Address4600 Bohannon Dr Ste 100Menlo Park, CA 94025-1037 · (209) 677-7468
Organization SubpartNo
Authorized OfficialArun VillivalamPresident · (209) 677-7468
Enumeration DateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
NPI 1184570673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4600 BOHANNON DR STE 100, Menlo Park, CA 94025

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D2269125

Sprinter Medical West, PC · North Hollywood, CA
Active · expires Sep 20, 2026
CLIA Number05D2269125
Laboratory TypeMobile Laboratory
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorArun Villivalam
Laboratory Phone(209) 677-7468
Laboratory LocationSprinter Medical West, PC5250 Lankershim Blvd, Ste 500, Office 549, North Hollywood, CA 91601
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 5

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

Nurse Practitioner (Family)
4600 BOHANNON DR STE 100
MENLO PARK, CA 94025
Family Medicine
4600 BOHANNON DR STE 100
MENLO PARK, CA 94025
Nurse Practitioner (Adult Health)
4600 BOHANNON DR STE 100
MENLO PARK, CA 94025
Registered Nurse
4600 BOHANNON DR STE 100
MENLO PARK, CA 94025
Family Medicine
4600 BOHANNON DR STE 100
MENLO PARK, CA 94025

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 Sprinter Medical West PC's NPI number?

The NPI number for Sprinter Medical West PC is 1184570673. It was assigned to this organization in the NPPES registry on March 6, 2026.

Where is Sprinter Medical West PC located?

Sprinter Medical West PC is located at 4600 Bohannon Dr Ste 100, Menlo Park, CA 94025. The listed phone number is (209) 677-7468.

What is Sprinter Medical West PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Sprinter Medical West PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2269125) is associated with this NPI, valid through September 20, 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 Sprinter Medical West PC was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.