NPIMap

Organization Active NPI

The Board of Trustees of the Leland Stanford Junior University

  • Primary Care Clinic/Center
  • Stanford, CA
National Provider Identifier
1134679103
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY
Practice address
866 Campus Dr
Stanford, CA 94305-8508
Phone
(650) 725-1366
Fax
(650) 723-4999
NPI assigned
Oct 13, 2016
Last updated
Oct 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Leigh Scott Stacy
Title
Director, Finance & Administration
Phone
(650) 725-1366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

866 Campus Dr
Stanford, CA 94305-8508

Mailing address

866 Campus Dr
Stanford, CA 94305-8508
Phone (650) 725-1366

Other names 1

  • Vaden Health Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0892832Vaden Health Center866 Campus Drive, Stanford, CA 94305Provider-performed microscopyOct 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Stanford Univ Medicine17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1134679103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058508",
            "telephone_number": "650-725-1366",
            "fax_number": "650-723-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058508",
            "telephone_number": "650-725-1366",
            "fax_number": "650-723-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "STACY",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR, FINANCE & ADMINISTRATION",
        "authorized_official_telephone_number": "650-725-1366"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vaden Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.