Active NPI
Vasyl Warvariv, M.D.
- Nephrology Physician
- Stanford, CA
National Provider Identifier
1033201710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- G55115
- Practice address
- 300 Pasteur Dr
A160 MC 5309
Stanford, CA 94305-2200 - Phone
- (650) 723-6961
- Fax
- (650) 725-8418
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | G55115 | CA | Primary |
| Internal Medicine Physician | 207R00000X | G55115 | CA |
Addresses
Primary practice location
300 Pasteur Dr
A160 MC 5309
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr Ste 100
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
1804 Embarcadero Rd
Ste 100
Palo Alto, CA 94303-3341
Phone (650) 725-9891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G551150 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55115 | CA | MD | Dentist |
| G55115 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Internal Medicine | Past | Accepting new patients |
| LPCH Medical Group Div of Lucile | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1033201710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR STE 100",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "A160 MC 5309",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-6961",
"fax_number": "650-725-8418"
}
],
"practiceLocations": [
{
"address_1": "1804 Embarcadero Rd",
"address_2": "STE 100",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943033341",
"country_code": "US",
"telephone_number": "650-725-9891",
"fax_number": "650-723-3997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARVARIV",
"first_name": "VASYL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "G55115",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G55115",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G551150",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.