MAYA NAMBISAN M.D.
NPI 1396041042
Obstetrics & Gynecology in Pleasanton, CA

Active since January 27, 2011PECOS EnrolledAccepts Medicare Assignment
4725 1ST ST, PLEASANTON, CA 94566(925) 734-3333 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2025, Jun 7, 2021, Mar 11, 2020 (3 updates tracked since 2020).

About Maya Nambisan M.d. NPPES

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

MAYA NAMBISAN M.D. (NPI 1396041042) is an individual obstetrics & gynecology provider in Pleasanton, California, licensed in California (A111198) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manteca, and is a graduate of Illinois Medical College (2008).

NPPES Registry Identity

NPI1396041042
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMAYA NAMBISANCredential: M.D.
Location Address4725 1ST STPleasanton, CA 94566-7366
Mailing Address4725 1st StPleasanton, CA 94566-7366 · (925) 734-3333
Sole ProprietorNo
Medical School CMSIllinois Medical CollegeGraduated 2008
Enumeration DateJanuary 27, 2011
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
NPI 1396041042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in CA · A111198
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

4725 1ST ST, Pleasanton, CA 94566

Secondary Practice Location 1

Location 11191 E Yosemite Ave Ste CManteca, CA 95336-5071 · Phone (209) 824-2202 · Fax (209) 824-2205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maya Nambisan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426270927
PECOS Enrollment IDI20141118001901
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94566 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Obstetrics & Gynecology
4725 1ST ST
PLEASANTON, CA 94566
Family Medicine
4725 1ST ST
PLEASANTON, CA 94566
Licensed Vocational Nurse
4725 1ST ST
PLEASANTON, CA 94566
Physical Therapist
4725 1ST ST, SUITE 250
PLEASANTON, CA 94566
Family Medicine
4725 1ST ST
PLEASANTON, CA 94566
Occupational Therapist
4725 1ST ST, SUITE 250
PLEASANTON, CA 94566

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 Maya Nambisan's NPI number?

The NPI number for Maya Nambisan is 1396041042. It was assigned to this individual provider in the NPPES registry on January 27, 2011.

Where is Maya Nambisan located?

Maya Nambisan practices at 4725 1st St, Pleasanton, CA 94566. The listed phone number is (925) 734-3333.

What is Maya Nambisan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Maya Nambisan enrolled in Medicare?

Yes. Maya Nambisan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Maya Nambisan was last updated on March 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.