Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prestige Med Inc

Organization Internal Medicine Physician · NPI 1477968741

Prestige Med Inc is an Internal Medicine Physician in San Ramon, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11030 Bollinger Canyon Rd Ste 240
San Ramon, CA 94582-4874
Phone: (925) 736-1000
Fax: (925) 736-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A80856 (CA)

Record details

NPI number1477968741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Mardanzai — Owner · (925) 736-1000
NPI enumeratedJune 25, 2014
Last updated in NPPESJune 25, 2014
Mailing address11030 Bollinger Canyon Rd, Suite 240, San Ramon, CA 94582-4874

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