NPIMap

Organization Active NPI

Stanford Employer Health Clinics

  • Primary Care Clinic/Center
  • San Diego, CA
National Provider Identifier
1093176331
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G566674 Issued in CA
Legal business name
STANFORD EMPLOYER HEALTH CLINICS
Practice address
10155 Pacific Heights Boulevard
San Diego, CA 92121
Phone
(650) 721-3099
Fax
(650) 725-2480
NPI assigned
Mar 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Kwi Bulow, MD
Title
Lead Physician
Phone
(650) 721-3099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G566674 CA Primary

Addresses

Primary practice location

10155 Pacific Heights Boulevard
San Diego, CA 92121

Mailing address

211 Quarry Rd
Palo Alto, CA 94304-1416
Phone (605) 721-3099

National Provider Directory

National Provider Directory
Tax ID family
Stanford Employer Health Clinics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1093176331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 QUARRY RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041416",
            "telephone_number": "605-721-3099",
            "fax_number": "650-725-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 PACIFIC HEIGHTS BOULEVARD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92121",
            "telephone_number": "650-721-3099",
            "fax_number": "650-725-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD EMPLOYER HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "BULOW",
        "authorized_official_first_name": "KWI",
        "authorized_official_title_or_position": "LEAD PHYSICIAN",
        "authorized_official_telephone_number": "650-721-3099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G566674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.