SPRINTER MEDICAL WEST PC NPI 1184570673

NPI Information

  • NPI: 1184570673
  • Provider Name: SPRINTER MEDICAL WEST PC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 4600 BOHANNON DR STE 100
    MENLO PARK, CA
    ZIP 94025
  • Phone: (209) 677-7468

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NPI Details

SPRINTER MEDICAL WEST PC is a family nurse practitioner in Menlo Park, CA. SPRINTER MEDICAL WEST PC NPI is 1184570673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4600 BOHANNON DR STE 100
MENLO PARK, CA
ZIP 94025-037
Phone: (209) 677-7468

The provider's authorized official is Arun Villivalam .
The authorized official title is President and has the following contact phone number (209) 677-7468.

The enumeration date for this NPI number is 3/6/2026 and was last updated on 3/6/2026.

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
1363LF0000XNurse PractitionerFamilyYes

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: 11/21/2025

NPI Synchronization or Removal

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