Active NPI
Stanley Chism, M.D
- Radiation Oncology Physician
- Palo Alto, CA
National Provider Identifier
1154557536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- C30717
- Practice address
- 1635 Madrono Ave
Palo Alto, CA 94306-1018 - Phone
- (650) 322-6332
- NPI assigned
- May 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | C30717 | CA | Primary |
Addresses
Primary practice location
1635 Madrono Ave
Palo Alto, CA 94306-1018
Mailing address
1635 Madrono Ave
Palo Alto, CA 94306-1018
Phone (650) 322-6332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C30717 | CA | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243641600000",
"number": "1154557536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1635 MADRONO AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061018",
"telephone_number": "650-322-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 MADRONO AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061018",
"telephone_number": "650-322-6332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISM",
"first_name": "STANLEY",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-30",
"last_updated": "2009-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "C30717",
"primary": true
}
],
"identifiers": [],
"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 May 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.