Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.
SPRINTER MEDICAL WEST PC
Complete NPI Record 1790368702
Family Medicine in Menlo Park, CA
Active since April 28, 2021
Complete NPI Dataset
This page contains the complete raw NPPES record for Sprinter Medical West Pc (NPI 1790368702), a family medicine organization in Menlo Park, CA. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1790368702 Field 1/29
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/29
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/29
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: SPRINTER MEDICAL WEST PC Field 4/29
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider First Line Business Mailing Address: 4600 BOHANNON DR STE 100 Field 5/29
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: MENLO PARK Field 6/29
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CA Field 7/29
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 940251037 Field 8/29
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 9/29
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 2096777468 Field 10/29
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 4600 BOHANNON DR STE 100 Field 11/29
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: MENLO PARK Field 12/29
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CA Field 13/29
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 940251037 Field 14/29
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 15/29
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 2096777468 Field 16/29
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: VILLIVALAM Field 19/29
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: ARUN Field 20/29
- The first name of the authorized official.
- Authorized Official Title or Position: PRESIDENT Field 21/29
- The title or position of the authorized official.
- Authorized Official Telephone Number: 2096777468 Field 22/29
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207Q00000X Field 23/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 24/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 25/29
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Name Prefix Text: DR. Field 26/29
- The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
- Authorized Official Credential Text: MD Field 27/29
- The professional credential(s) of the authorized official listed on the provider's NPI record. Examples include MD (Doctor of Medicine), DO (Doctor of Osteopathy), RN (Registered Nurse), DDS (Doctor of Dental Surgery), PhD, or other recognized designations that reflect the official's qualifications.
- Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP Field 28/29
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 24
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
500 Marquette Ave NW Ste 1200
Location 1/24Albuquerque, NM 87102-5340 · Phone (650) 610-2655 · Fax (650) 606-8619
7777 W Lincoln Hwy Fl 1
Location 2/24Frankfort, IL 60423-9490 · Phone (650) 610-2655 · Fax (650) 606-8619
303 Congressional Blvd Ste 200
Location 3/24Carmel, IN 46032-5631 · Phone (650) 610-2655 · Fax (650) 606-8619
9850 Von Allmen Ct Ste 201
Location 4/24Louisville, KY 40241-2855 · Phone (650) 610-2655 · Fax (650) 610-2655
1045 Elm St Ste 204
Location 5/24Manchester, NH 03101-1844 · Phone (650) 610-2655 · Fax (650) 606-8619
8024 Glenwood Ave Ste 305
Location 6/24Raleigh, NC 27612-1952 · Phone (650) 610-2655 · Fax (650) 606-8619
232 Market St Ofc 201
Location 7/24Flowood, MS 39232-3339 · Phone (650) 610-2655 · Fax (650) 606-8619
10 Dorrance St Ste 700
Location 8/24Providence, RI 02903-2014 · Phone (650) 610-2655 · Fax (650) 606-8619
10401 W Reno Ave Ste 100
Location 9/24Oklahoma City, OK 73127-7255 · Phone (650) 610-2655 · Fax (650) 606-8619
1231 Collier Rd NW Ste E
Location 10/24Atlanta, GA 30318-2322 · Phone (650) 610-2655 · Fax (650) 606-8619
1545 Crossways Blvd Ste 250203
Location 11/24Chesapeake, VA 23320-0205 · Phone (650) 610-2655 · Fax (650) 606-8619
600 Stewart St Ste 300&400
Location 12/24Seattle, WA 98101-1230 · Phone (650) 610-2655 · Fax (650) 606-8619
201 Saint Charles Ave Ste 25002561
Location 13/24New Orleans, LA 70170-1000 · Phone (650) 610-2655 · Fax (650) 606-8619
9850 Von Allmen Court,, Suite 201, Office 270
Location 14/24Louisville, KY 40241 · Phone (209) 677-7468
5250 Lankershim Blvd Ste 500
Location 15/24North Hollywood, CA 91601-3187 · Phone (650) 610-2655 · Fax (650) 606-8619
2 Granite Ave Ste 260
Location 16/24Milton, MA 02186-4376 · Phone (650) 610-2655 · Fax (650) 606-8619
6975 Union Park Avenue, Suite 600, Office 607
Location 17/24Cottonwood Heights, UT 84047-4187 · Phone (650) 610-2655 · Fax (650) 606-8619
1100 NW Loop 410 Ste 700
Location 18/24San Antonio, TX 78213-2263 · Phone (650) 610-2655 · Fax (650) 606-8619
140 Stoneridge Dr Ste 430
Location 19/24Columbia, SC 29210-8276 · Phone (650) 610-2655 · Fax (650) 606-8619
4641 N 12th St Fl 12
Location 20/24Phoenix, AZ 85014-4095 · Phone (650) 610-2655 · Fax (650) 606-8619
2323 W 5th Ave # 120107
Location 21/24Columbus, OH 43204-4899 · Phone (650) 610-2655 · Fax (650) 606-8619
2323 West 5th Avenue, Suite 120, office 103A
Location 22/24Columbus, OH 43204 · Phone (209) 677-7468
100 SE 2nd St Ste 2000
Location 23/24Miami, FL 33131-2101 · Phone (209) 677-7468
2000 Town Ctr Ste 1900
Location 24/24Southfield, MI 48075-1152 · Phone (650) 610-2655 · Fax (650) 606-8619
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