NPIMap

Organization Active NPI

Stanford Employer Health Clinics

  • Multi-Specialty Clinic/Center
  • San Jose, CA
National Provider Identifier
1104571199
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
STANFORD EMPLOYER HEALTH CLINICS
Practice address
3571 N 1St St FL 2
San Jose, CA 95134-1937
Phone
(408) 424-2000
NPI assigned
Feb 17, 2022
Organization subpart
Yes
Parent organization
STANFORD HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Cynthia Jean Gulick
Title
Director
Phone
(650) 485-9551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3571 N 1St St FL 2
San Jose, CA 95134-1937

Mailing address

500 Pasteur Dr
Room P388 Mc5288
Palo Alto, CA 94304-1048

National Provider Directory

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

Other organizations with this tax ID 7

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

Locations

3571 N 1st St
Fl 2
San Jose, CA 95134
Phone (408) 424-2000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1104571199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PASTEUR DR",
            "address_2": "ROOM P388 MC5288",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 N 1ST ST FL 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951341937",
            "telephone_number": "408-424-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD EMPLOYER HEALTH CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANFORD HEALTHCARE",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "GULICK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "650-485-9551"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.