Healthcare Provider Details

I. General information

NPI: 1245345248
Provider Name (Legal Business Name): KALPANA NATHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 WILLOW RD BLDG 321 NEW HORIZONS MC A170
MENLO PARK CA
94025-2539
US

IV. Provider business mailing address

795 WILLOW RD BLDG 321 NEW HORIZONS MC A170
MENLO PARK CA
94025-2539
US

V. Phone/Fax

Practice location:
  • Phone: 650-493-5000
  • Fax:
Mailing address:
  • Phone: 650-493-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084F0202X
TaxonomyForensic Psychiatry Physician
License NumberA48816
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA48816
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License NumberA48816
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: