Active NPI
Megan Alexandra Clark
- Student in an Organized Health Care Education/Training Program
- Stanford, CA
National Provider Identifier
1053101451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 875 Blake Wilbur Drive
Department of Radiation Oncology
Stanford, CA 94305 - Phone
- (650) 723-6171
- NPI assigned
- May 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
875 Blake Wilbur Drive
Department of Radiation Oncology
Stanford, CA 94305
Mailing address
875 Blake Wilbur Drive
Department of Radiation Oncology
Stanford, CA 94305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1053101451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 BLAKE WILBUR DRIVE",
"address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
"city": "STANFORD",
"state": "CA",
"postal_code": "94305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 BLAKE WILBUR DRIVE",
"address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
"city": "STANFORD",
"state": "CA",
"postal_code": "94305",
"telephone_number": "650-723-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MEGAN",
"middle_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-08",
"last_updated": "2025-05-08",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.