Active NPI
Stanford Life Flight
- Air Ambulance
- Stanford, CA
National Provider Identifier
1114063203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- STANFORD LIFE FLIGHT
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Jan 29, 2007
- Organization subpart
- Yes
- Parent organization
- STANFORD HOSPITAL AND CLINICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Martha Marsh
- Title
- Ceo
- Phone
- (650) 723-8542
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTA01000F | Medicaid | CA |
Other names 1
- Stanford Life Flight
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030731000003 | CA | Part A Provider - Hospital | 6709797491 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Jose, CA; Los Altos, CA; Stanford, CA; Palo Alto, CA; Emeryville, CA; Pleasanton, CA; Los Gatos, CA; Redwood City, CA… |
| O20090724000009 | CA | Part B Supplier - Ambulance Service Supplier | 7618029505 | Practice locations: Stanford, CA |
Hospital certification: CCN 050441
- Legal name
- STANFORD HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1968
- Last certification
- Jul 25, 2025
- Beds
- 613
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Apr 1, 2000 (1 total)
- Organization structure
- Corporation
- Incorporated
- Apr 12, 1957 in CA
- Enrollment address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Hospital subgroups
- General, Acute care, Psychiatric unit, Rehabilitation unit, Other
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Care Compare: Hospital
Medicare Care Compare- Listed as
- Stanford Health Care
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Care Compare: Inpatient rehabilitation facility
Medicare Care Compare- Listed as
- Stanford Hospital & Clinics
- Ownership
- Non-profit
- Certified
- Sep 1, 1992
This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected
National Provider Directory
National Provider Directory- Part of
- UCSF Stanfordhealth Car
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 35
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lloyd Brooks Minor | Corporate Director | Dec 1, 2012 | |
| Mindy Rogers | Corporate Officer | Nov 1, 2018 | |
| Eila C Skinner | Corporate Officer | Jan 1, 2023 | |
| Rachelle Nolan | W-2 Managing Employee | Oct 12, 2015 | |
| Lata Krishnan | Corporate Officer | Apr 1, 2018 | |
| Gurinder Sarao | W-2 Managing Employee | Sep 1, 2017 | |
| Amit Sinha | Corporate Officer | Apr 1, 2023 | |
| Jill Buathier | W-2 Managing Employee | Feb 28, 2013 | |
| Operational/Managerial Control | Feb 28, 2013 | ||
| Hamid R Moghadam | Corporate Officer | Sep 1, 2021 | |
| Kavitark R Shriram | Corporate Officer | Sep 1, 2019 | |
| The Board of Trustees of the Leland Stanford Junior University | Other | Jul 1, 1968 | |
| Naira Guerrero | W-2 Managing Employee | Nov 18, 2018 | |
| Robert T Santos | Corporate Officer | Jan 1, 2021 | |
| Hanh Truong | W-2 Managing Employee | Nov 16, 2020 | |
| Jeffrey J Rothschild | Corporate Officer | Jan 1, 2021 | |
| Mark Leslie | Corporate Officer | Sep 1, 2015 | |
| Paul King | Corporate Officer | Jan 28, 2019 | |
| Karen Jordan | Corporate Officer | Jan 1, 2023 | |
| Susan Bechtel | Corporate Officer | Nov 1, 2015 | |
| Stanford Health Care | 5% Or Greater Direct Ownership Interest | Feb 27, 2013 | 100% |
| Thomas Jude Montine | Corporate Officer | Jan 1, 2022 | |
| Randall Livingston | Corporate Officer | Jan 1, 2019 | |
| Sara Abbasu | Corporate Officer | May 1, 2021 | |
| Mariann Byerwalter | Corporate Officer | Apr 1, 2000 | |
| David Entwistle | Corporate Officer | Jul 5, 2016 | |
| W-2 Managing Employee | Jul 5, 2016 | ||
| Kaye Foster | Corporate Officer | Nov 1, 2014 | |
| Cecilia Herbert | Corporate Officer | Sep 1, 2016 | |
| Cynthia Gulick | Corporate Director | Sep 7, 2021 | |
| W-2 Managing Employee | Sep 7, 2021 | ||
| William Brody | Corporate Officer | Nov 1, 2015 | |
| Jay Bakul Shah | Corporate Officer | Sep 1, 2022 | |
| Lisa M Sangam | W-2 Managing Employee | Sep 7, 2021 | |
| Jeffrey W Bird | Corporate Officer | Jan 1, 2022 | |
| Gladys Rufo | W-2 Managing Employee | Nov 7, 2016 | |
| Marc Jones | Corporate Officer | Jan 1, 2020 | |
| Jonathan Jay Coslet | Corporate Officer | Jan 1, 2022 |
Owners & managing parties with NPI records 8
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Pleasanton, CA
- NPI 1356340384
Corporate Officer
-
- Specialty Pharmacy
- Palo Alto, CA
- NPI 1053835595
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital
- Stanford, CA
- NPI 1265581086
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
5% Or Greater Direct Ownership Interest
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 3,901
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- Daly City, CA
- NPI 1588826242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263513600000",
"number": "1114063203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"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": "650-723-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANFORD LIFE FLIGHT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STANFORD HOSPITAL AND CLINICS",
"enumeration_date": "2007-01-29",
"last_updated": "2010-01-15",
"status": "A",
"authorized_official_last_name": "MARSH",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "650-723-8542",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MTA01000F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stanford Life Flight",
"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 Jan 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.