NPIMap

Organization Active NPI

Stanford Employer Health Clinics

  • Primary Care Clinic/Center
  • San Jose, CA
National Provider Identifier
1275004244
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STANFORD EMPLOYER HEALTH CLINICS
Practice address
1189 Coleman Ave
2ND Floor Suite E2-100
San Jose, CA 95110
Phone
(925) 785-7377
NPI assigned
Dec 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Authorized official

Name
Lawrence Yau-Tung Kwan
Title
Medical Director
Phone
(650) 450-0624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1189 Coleman Ave
2ND Floor Suite E2-100
San Jose, CA 95110

Mailing address

1189 Coleman Ave
2ND Floor Suite E2-100
San Jose, CA 95110

National Provider Directory

National Provider Directory
Tax ID family
Stanford Employer Health Clinics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1189 Coleman Ave
2ND FL Ste E2100
San Jose, CA 95110
Phone (925) 785-7377

741 First Ave
Bldg B
Sunnyvale, CA 94089

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1275004244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 COLEMAN AVE",
            "address_2": "2ND FLOOR SUITE E2-100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 COLEMAN AVE",
            "address_2": "2ND FLOOR SUITE E2-100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95110",
            "telephone_number": "925-785-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD EMPLOYER HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-07-13",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "YAU-TUNG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "650-450-0624"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.