DR. PRASANNA MENON I M.D.
NPI 1417061573
Specialist in Mountain View, CA

Q: What is Prasanna Menon's NPI number?

The NPI number for Prasanna Menon is 1417061573. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Q: What is Prasanna Menon's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Prasanna Menon was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 18, 2006PECOS Enrolled

2204 GRANT RD, SUITE 202, MOUNTAIN VIEW, CA 94040(650) 965-9155(650) 965-4105 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Prasanna Menon I M.d. NPPES

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

DR. PRASANNA MENON I M.D. (NPI 1417061573) is an individual specialist in Mountain View, California, licensed in California (A46019) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417061573

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDR. PRASANNA MENON ICredential: M.D.

Location Address2204 GRANT RD, SUITE 202Mountain View, CA 94040-3855

Mailing Address2204 Grant Rd, Suite 202Mountain View, CA 94040-3855 · (650) 965-9155 · Fax (650) 965-4105

Phone(650) 965-9155

Fax(650) 965-4105

Sole ProprietorYes

Enumeration DateAugust 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417061573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A46019

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2204 GRANT RD, Mountain View, CA 94040

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Other Identifiers 1

Medicare ID-Type Unspecified00A460190CA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prasanna Menon I M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.