Active NPI
Linda D Shortliffe, M.D.
- Pediatric Urology Physician
- Stanford, CA
National Provider Identifier
1083763494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- G35089
- Practice address
- 300 Pasteur Dr
Dept. Urology, S-287, Sumc MC 5118
Stanford, CA 94305-2200 - Phone
- (650) 498-5042
- Fax
- (650) 723-4055
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | G35089 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Dept. Urology, S-287, Sumc MC 5118
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Dept. Urology, S-287, Sumc MC 5118
Stanford, CA 94305-2200
Phone (650) 498-5042
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G35089 | CA | MD | Pediatric Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083763494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "DEPT. UROLOGY, S-287, SUMC MC 5118",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-498-5042",
"fax_number": "650-723-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "DEPT. UROLOGY, S-287, SUMC MC 5118",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-498-5042",
"fax_number": "650-723-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORTLIFFE",
"first_name": "LINDA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "CA",
"license": "G35089",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.