NPIMap

Organization Active NPI

Stanford Blood Center, LLC

  • Clinical Medical Laboratory
  • Palo Alto, CA
National Provider Identifier
1124509260
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF00003937 Issued in CA
Legal business name
STANFORD BLOOD CENTER, LLC
Doing business as
Stanford Blood Center
Practice address
3373 Hillview Ave
Palo Alto, CA 94304-1204
Phone
(650) 723-7994
Fax
(650) 725-4470
NPI assigned
Aug 27, 2018
Organization subpart
Yes
Parent organization
STANFORD HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Sharon Branaman
Title
Manager, Administrative Services
Phone
(650) 723-7886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF00003937 CA Primary

Addresses

Primary practice location

3373 Hillview Ave
Palo Alto, CA 94304-1204

Mailing address

3373 Hillview Ave
Palo Alto, CA 94304-1204
Phone (650) 723-7994

Other identifiers 2

IdentifierTypeStateIssuer
CLF00003937OtherCACLINICAL LABORATORY LICENSE
05D0670983OtherCLIA CERTIFICATE

Other names 1

  • Stanford Blood Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanford Blood Center5 organizations share this tax ID, including this one
Part of
Stanford Health SVCS Di

Other organizations with this tax ID 4

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

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": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1124509260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 HILLVIEW AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041204",
            "telephone_number": "650-723-7994",
            "fax_number": "650-725-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3373 HILLVIEW AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041204",
            "telephone_number": "650-723-7994",
            "fax_number": "650-725-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD BLOOD CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANFORD HEALTHCARE",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "BRANAMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER, ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "650-723-7886"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00003937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY LICENSE",
            "identifier": "CLF00003937",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE",
            "identifier": "05D0670983",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanford Blood Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stanford Blood Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 2018; 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.