Dr Ala Stanford Center for Health Equity

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DR ALA STANFORD CENTER FOR HEALTH EQUITY

Practice address

2001 W Lehigh Ave
Philadelphia, PA 19132-2652

Phone

(844) 423-2362

Fax

(215) 654-3063

NPI assigned

Nov 12, 2021

Organization subpart

No

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

Authorized official

Name

Cynthia Antoinette Taylor

Title

Director of Operations

Phone

(267) 501-1627

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• ALA STANFORD MD SOLE MBR Other name

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khary Blackmon, M.S

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1528441920
  NPD (past)
• Pierre Patrick Chanoine, M.D.

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1487733838
  NPD (past)
• Lisa Marie Hammond, CRNP

  • Women's Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1992842371
  NPD (past)
• Margarita Elena McDonald, M.D.

  • Obesity Medicine (Family Medicine) Physician
  • Flourtown, PA
  • NPI 1477816528
  NPD (past)
• Jamie Vincenti Redwing, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Philadelphia, PA
  • NPI 1730180316
  NPD (past)
• Elizabeth W Schmidt, MSN, CRNP

  • Primary Care Nurse Practitioner
  • Philadelphia, PA
  • NPI 1346362076
  NPD (past)
• Steven Spencer, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1023057007
  NPD (past)

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1194481275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322652",
            "telephone_number": "267-501-1627",
            "fax_number": "484-443-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W LEHIGH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191322652",
            "telephone_number": "844-423-2362",
            "fax_number": "215-654-3063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7979 State Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191363407",
            "country_code": "US",
            "telephone_number": "267-501-1627",
            "fax_number": "484-443-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR ALA STANFORD CENTER FOR HEALTH EQUITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "267-501-1627"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041122130001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALA STANFORD MD SOLE MBR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ALA STANFORD MD SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.