Healthcare Provider Details

I. General information

NPI: 1598321861
Provider Name (Legal Business Name): MERU HEALTH MEDICAL CALIFORNIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S B ST FL 2
SAN MATEO CA
94401-4245
US

IV. Provider business mailing address

720 S B ST STE 2
SAN MATEO CA
94401-4245
US

V. Phone/Fax

Practice location:
  • Phone: 833-940-1385
  • Fax: 650-382-1633
Mailing address:
  • Phone: 833-940-1385
  • Fax: 650-382-1633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PRIYANKA WALI
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 650-240-4850