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

Maitri Mehta, DO

Individual provider Family Medicine Physician · NPI 1003490921

Maitri Mehta, DO is a Family Practice in San Rafael, California. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2021, 5 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
5
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
CA, IL
In the registry since
2021
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1650 Los Gamos Dr
San Rafael, CA 94903-1850
Phone: (415) 444-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 102 S Hennepin Ave, Dixon, IL 61021-3013 — (815) 285-8520

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A22966 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 125-078487 (IL)

Record details

NPI number1003490921
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address1650 Los Gamos Dr, San Rafael, CA 94903-1850

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2021 (5 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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