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

Vadim I Bederov, PA-C

Individual provider Surgical Physician Assistant · NPI 1659681278

Vadim I Bederov, PA-C is a Physician Assistant in Stanford, California. Graduated from Lafayette Chiropractic Institute in 2010, 16 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Trained at
Lafayette Chiropractic Institute
Licensed in
CA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 795 El Camino Real, Palo Alto, CA 94301 — (650) 853-2951

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 22795 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA22795 (CA)

Record details

NPI number1659681278
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2010
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLAFAYETTE CHIROPRACTIC INSTITUTE
Graduated 2010 (16 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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