Healthcare Provider Details

I. General information

NPI: 1891601456
Provider Name (Legal Business Name): ANAVI TIWARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 EDMONDS RD BLDG E
REDWOOD CITY CA
94062-3813
US

IV. Provider business mailing address

1401 RED HAWK CIR APT L304
FREMONT CA
94538-4749
US

V. Phone/Fax

Practice location:
  • Phone: 650-815-5622
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number758390
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: