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JAINY VATHIKULAM DO
NPI 1407349145
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in San Rafael, CA

Active since June 07, 2018
4000 CIVIC CENTER DR STE 100, SAN RAFAEL, CA 94903(628) 877-0040 Get Directions Write a Review

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

About Jainy Vathikulam Do NPPES

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

JAINY VATHIKULAM DO (NPI 1407349145) is an individual neurology with special qualifications in child neurology provider in San Rafael, California, licensed in California (20A17874) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1407349145
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameJAINY VATHIKULAMCredential: DO
Location Address4000 CIVIC CENTER DR STE 100San Rafael, CA 94903-4151
Mailing Address4000 Civic Center Dr Ste 100San Rafael, CA 94903-4151 · (628) 877-0040
Phone(628) 877-0040
Sole ProprietorNo
Enumeration DateJune 7, 2018
Last NPPES UpdateMay 21, 2026
NPPES CertifiedMay 21, 2026
✔ NPI 1407349145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in CA · 20A17874
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
4000 CIVIC CENTER DR STE 100, San Rafael, CA 94903
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Other Providers at the Same Location NPPES 20

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

MR. JOSEPH JOHNSON
Behavior Analyst
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903
Marin County (628) 877-0040
REBECCA CABRERA OTR/L
Occupational Therapist
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903
Marin County (628) 877-0040
TRINI BUI
Behavior Analyst
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903
Marin County (628) 877-0040
EMMA REULBACH
Behavior Analyst
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903
Marin County (628) 877-0040
ALEXIS MEGAN AXT
Specialist/Technologist (Speech-Language Assistant)
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903
Marin County (628) 877-0040
MEGYN ELIZABETH HORTON
Behavior Technician
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903
Marin County (628) 877-0040
DR. JENNIFER CATHERINE HANSON M.D.
Pediatrics
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903
Marin County (215) 847-3133
CHINENYE ECHEM
Behavior Technician
4000 CIVIC CENTER DR STE 100
SAN RAFAEL, CA 94903
Marin County (628) 877-0040

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 Jainy Vathikulam's NPI number?

The NPI number for Jainy Vathikulam is 1407349145. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Jainy Vathikulam located?

Jainy Vathikulam practices at 4000 Civic Center Dr Ste 100, San Rafael, CA 94903. The listed phone number is (628) 877-0040.

What is Jainy Vathikulam's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Jainy Vathikulam was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.