Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOUGLAS LEE VANDERBILT MD
NPI 1457340291
Pediatrics - Developmental - Behavioral Pediatrics in Palo Alto, CA

Q: What is Douglas Vanderbilt's NPI number?

The NPI number for Douglas Vanderbilt is 1457340291. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Douglas Vanderbilt's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Active since October 14, 2005PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Douglas Lee Vanderbilt Md NPPES

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

DOUGLAS LEE VANDERBILT MD (NPI 1457340291) is an individual developmental - behavioral pediatrics provider in Palo Alto, California, licensed in California (A75123) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1457340291

Entity TypeIndividualMale

Primary Taxonomy2080P0006X

Provider Legal NameDOUGLAS LEE VANDERBILTCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Enumeration DateOctober 14, 2005

Last NPPES UpdateAugust 11, 2026

NPPES CertifiedAugust 11, 2026

✔ NPI 1457340291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Licenses✔ Licensed in CA · A75123✔ Licensed in MA · 213549

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatricsTaxonomy 208000000X · License A75123 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 14650 W Sunset Blvd, MS#76Los Angeles, CA 90027-6062 · Phone (617) 414-5170 · Fax (323) 361-8566

Other Identifiers 1

Medicaid0179540MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Lee Vanderbilt Md 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.

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)