Active NPI
Caroline Katharine Buckway, MD
- Pediatric Endocrinology Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- A60707
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Sep 22, 2006
- Last updated
- Apr 9, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A60707 | CA | |
| Pediatric Endocrinology Physician | 2080P0205X | A60707 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other practice location 1
300 Pasteur Dr.
G313
Stanford, CA 94305
Phone (650) 723-5791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD5299 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A60707 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| County of Santa Clara | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Lucile Salter Packard Children's Hospital at Stanford | Past | Accepting new patients |
Locations
824 Bay Ave
Ste 70
Capitola, CA 95010
Phone (831) 457-2361
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
730 Welch Rd
Palo Alto, CA 94304
Phone (650) 723-4800
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
300 Pasteur Dr
#G313
Stanford, CA 94305
Phone (650) 723-5791
1195 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 426-5590
Organizations & group practices 4
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 Lucile Salter Packard Children's Hospital at Stanford
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
Pediatrics
-
dba Inpatient Acute/Outpatient Facility Services
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
dba SHC Reference Laboratory
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1114026127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "300 Pasteur Dr.",
"address_2": "G313",
"address_purpose": "LOCATION",
"city": "Stanford",
"state": "CA",
"postal_code": "94305",
"country_code": "US",
"telephone_number": "650-723-5791",
"fax_number": "650-725-8375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKWAY",
"first_name": "CAROLINE",
"middle_name": "KATHARINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A60707",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "CA",
"license": "A60707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD5299",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.