Healthcare Provider Details

I. General information

NPI: 1568481497
Provider Name (Legal Business Name): NAVDEEP SINGH BAATH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: NAVDEEP SINGH M.D.

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MAIN STREET
SAN QUENTIN CA
94964-0001
US

IV. Provider business mailing address

795 WILLOW RD
MENLO PARK CA
94025-2539
US

V. Phone/Fax

Practice location:
  • Phone: 510-648-4950
  • Fax:
Mailing address:
  • Phone: 650-493-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA88305
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: