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DR. DAVID E. WANDERMAN M.D.
NPI 1770517732
Pediatrics in Burlingame, CA

Active since July 10, 2006PECOS Enrolled
1720 EL CAMINO REAL STE 205, BURLINGAME, CA 94010(650) 259-5050(650) 697-1317 Get Directions Write a Review

NPPES record last updated: December 25, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. David E. Wanderman M.d. NPPES

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

DR. DAVID E. WANDERMAN M.D. (NPI 1770517732) is an individual pediatrics provider in Burlingame, California, licensed in California (A90833) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770517732
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DAVID E. WANDERMANCredential: M.D.
Location Address1720 EL CAMINO REAL STE 205Burlingame, CA 94010-3226
Mailing Address1720 El Camino Real Ste 205Burlingame, CA 94010-3226 · (650) 259-5050 · Fax (650) 697-1317
Phone(650) 259-5050
Fax(650) 697-1317
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateDecember 25, 2013
✔ NPI 1770517732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A90833
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1720 EL CAMINO REAL STE 205, Burlingame, CA 94010
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Other Identifiers 2

Medicaid00A908330CA
Medicare PIN00A908330CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David E. Wanderman 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.

Medicare Billing Reassignment

Medicare enrollment records show David Wanderman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lpch Medical Group Div Of Lucile
16 mi
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94010 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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

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

DR. TARA TANAKA M.D.
Pediatrics
1720 EL CAMINO REAL STE 205
BURLINGAME, CA 94010
San Mateo County (650) 259-5050

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 David Wanderman's NPI number?

The NPI number for David Wanderman is 1770517732. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is David Wanderman located?

David Wanderman practices at 1720 El Camino Real Ste 205, Burlingame, CA 94010. The listed phone number is (650) 259-5050.

What is David Wanderman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Wanderman enrolled in Medicare?

Yes. David Wanderman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Wanderman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Wanderman reassigns Medicare benefits to Lpch Medical Group Div Of Lucile (Palo Alto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Wanderman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Wanderman was last updated on December 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.