PALO ALTO MIND BODY NPI 1639729932

NPI Information

  • NPI: 1639729932
  • Provider Name: PALO ALTO MIND BODY
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • CLIA Number: 05D2150501
  • Address: 206 CALIFORNIA AVE
    PALO ALTO, CA
    ZIP 94306
  • Phone: (650) 681-2900

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NPI Details

PALO ALTO MIND BODY is a multi-specialty clinic center in Palo Alto, CA. PALO ALTO MIND BODY NPI is 1639729932. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

206 CALIFORNIA AVE
PALO ALTO, CA
ZIP 94306-618
Phone: (650) 681-2900
Fax: (650) 681-2646

The provider's authorized official is M Rameen Ghorieshi .
The authorized official title is Physician and has the following contact phone number (650) 681-2900.

The CLIA number assigned to this NPI record is 05D2150501 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/18/2019 and was last updated on 4/5/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3208D00000XGeneral PracticeNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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