NPIMap

Organization Active NPI

Lucile Packard Children's Hospital

  • Genetics Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1043761125
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetics Clinic/CenterTaxonomy code 261QG0250X
License
GC000802 Issued in CA
Legal business name
LUCILE PACKARD CHILDREN'S HOSPITAL
Practice address
730 Welch Rd
Neurology Cc71015
Palo Alto, CA 94304-1503
Phone
(650) 723-0993
NPI assigned
Oct 24, 2016
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Fisher, MD
Title
Chief, Division of Child Neurology
Phone
(650) 736-0885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetics Clinic/Center 261QG0250X GC000802 CA Primary

Addresses

Primary practice location

730 Welch Rd
Neurology Cc71015
Palo Alto, CA 94304-1503

Mailing address

730 Welch Rd
Neurology Cc71015
Palo Alto, CA 94304-1503

National Provider Directory

National Provider Directory
Tax ID family
LPCH Medical Group Div of Lucile13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

730 Welch Rd
#71015
Palo Alto, CA 94304
Phone (650) 723-0993

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1043761125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 WELCH RD",
            "address_2": "NEUROLOGY CC71015",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 WELCH RD",
            "address_2": "NEUROLOGY CC71015",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041503",
            "telephone_number": "650-723-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILE PACKARD CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF, DIVISION OF CHILD NEUROLOGY",
        "authorized_official_telephone_number": "650-736-0885",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": "CA",
            "license": "GC000802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.