Active NPI
Stanford Hospital and Clinics
- Surgery Physician
- Stanford, CA
National Provider Identifier
1104876556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- STANFORD HOSPITAL AND CLINICS
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 498-7103
- NPI assigned
- May 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Simone Esson
- Title
- Acting Director
- Phone
- (650) 498-7103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
2680 Hanover St
Palo Alto, CA 94304-1117
Other names 1
- STANFORD MEDICAL CENTER
National Provider Directory
National Provider Directory- Tax ID family
- UCSF Stanfordhealth Car
Other organizations with this tax ID 48
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- Anesthesiology Physician
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- Emergency Medicine Physician
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- Dermatology Physician
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- Allergy & Immunology (Internal Medicine) Physician
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- Pediatric Gastroenterology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191369600000",
"number": "1104876556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 HANOVER ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-498-7103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANFORD HOSPITAL AND CLINICS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2007-10-03",
"status": "A",
"authorized_official_last_name": "ESSON",
"authorized_official_first_name": "SIMONE",
"authorized_official_title_or_position": "ACTING DIRECTOR",
"authorized_official_telephone_number": "650-498-7103"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "STANFORD MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 3, 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.