Active NPI
Brian Tadayoshi Abe, MD, PHD
- Rheumatology Physician
- Stanford, CA
National Provider Identifier
1104262708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A132224
- Practice address
- 300 Pasteur Dr RM 2225
Stanford, CA 94305-2200 - Phone
- (650) 723-7887
- NPI assigned
- May 22, 2013
- Last updated
- Jul 13, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A132224 | CA | |
| Rheumatology Physician | 207RR0500X | A132224 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr RM 2225
Stanford, CA 94305-2200
Mailing address
1000 Welch Rd Ste 203
Palo Alto, CA 94304-1808
Phone (650) 723-6961
Other practice location 1
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Phone (858) 554-3235
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A132224 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1104262708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WELCH RD STE 203",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041808",
"telephone_number": "650-723-6961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR RM 2225",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-7887"
}
],
"practiceLocations": [
{
"address_1": "10666 N Torrey Pines Rd",
"address_purpose": "LOCATION",
"city": "La Jolla",
"state": "CA",
"postal_code": "920371027",
"country_code": "US",
"telephone_number": "858-554-3235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABE",
"first_name": "BRIAN",
"middle_name": "TADAYOSHI",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-22",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A132224",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A132224",
"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 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.