Stanford Health Care
Organization Active NPI General Acute Care Hospital · Emeryville, CA
NPI 1285177337 · NPPES record last updated Mar 7, 2017
Key facts
- NPI
- 1285177337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 070000662 (CA)
- Legal business name
- STANFORD HEALTH CARE
- Practice address
- 6121 Hollis St
Emeryville, CA 94608-2077 - Phone
- (650) 498-5785
- NPI assigned
- Nov 22, 2016
- Organization subpart
- No
Authorized official
- Name
- Larue Perkins
- Title
- Senior Manager
- Phone
- (650) 498-5785
Owners & managing parties with NPI records 8
-
Robert Thomas Santos, M.D.
-
Jay Bakul Shah, M.D.
-
Eila Curlee Skinner, M.D.
Other NPIs on the same Medicare enrollment 6
Member organizations 3
Related certifications (CCN) 1
Affiliated clinicians 3,901
-
Humayun Abbas, MD
-
Carolina Abbassi, CRNA
-
Hadia Abdelgawad, CRNA
-
Salwan Abiezzi, M.D.
-
Graham Edwin Abra, M.D.
-
Jennifer Abrams, M.D.
-
Rebecca Abundis, D.O
-
Daniel Acevedo, PA-C
-
Jack Ackerman, DO
-
Mark J Adame, MD
-
Michelle Yu Adams, PA-C
-
David Joseph Adler, PA-C
-
Shehla Admani, MD
Medicare Care Compare: Hospital
- Listed as
- Stanford Health Care
- Overall star rating
- ★★★★★ 5 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Stanford Hospital & Clinics
- Ownership
- Non-profit
- Certified
- Sep 1, 1992
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Hospital certification: CCN 050441
- Legal name
- STANFORD HEALTH CARE
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1968
- Last certification
- Jul 25, 2025
- Beds
- 613
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Apr 1, 2000 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 12, 1957 in CA
- Enrollment address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Hospital subgroups
- General, Acute care, Psychiatric unit, Rehabilitation unit, Other
All disclosed owners & managing parties 35
| Name | Role | Since | Share |
|---|---|---|---|
| Lloyd Brooks Minor |
Corporate Director |
Dec 1, 2012 | |
| Mindy Rogers |
Corporate Officer |
Nov 1, 2018 | |
| Eila C Skinner |
Corporate Officer |
Jan 1, 2023 | |
| Rachelle Nolan |
W-2 Managing Employee |
Oct 12, 2015 | |
| Lata Krishnan |
Corporate Officer |
Apr 1, 2018 | |
| Gurinder Sarao |
W-2 Managing Employee |
Sep 1, 2017 | |
| Amit Sinha |
Corporate Officer |
Apr 1, 2023 | |
| Jill Buathier |
W-2 Managing Employee |
Feb 28, 2013 | |
| Operational/Managerial Control |
Feb 28, 2013 | ||
| Hamid R Moghadam |
Corporate Officer |
Sep 1, 2021 | |
| Kavitark R Shriram |
Corporate Officer |
Sep 1, 2019 | |
| The Board of Trustees of the Leland Stanford Junior University |
Other | Jul 1, 1968 | |
| Naira Guerrero |
W-2 Managing Employee |
Nov 18, 2018 | |
| Robert T Santos |
Corporate Officer |
Jan 1, 2021 | |
| Hanh Truong |
W-2 Managing Employee |
Nov 16, 2020 | |
| Jeffrey J Rothschild |
Corporate Officer |
Jan 1, 2021 | |
| Mark Leslie |
Corporate Officer |
Sep 1, 2015 | |
| Paul King |
Corporate Officer |
Jan 28, 2019 | |
| Karen Jordan |
Corporate Officer |
Jan 1, 2023 | |
| Susan Bechtel |
Corporate Officer |
Nov 1, 2015 | |
| Stanford Health Care |
5% Or Greater Direct Ownership Interest | Feb 27, 2013 | 100% |
| Thomas Jude Montine |
Corporate Officer |
Jan 1, 2022 | |
| Randall Livingston |
Corporate Officer |
Jan 1, 2019 | |
| Sara Abbasu |
Corporate Officer |
May 1, 2021 | |
| Mariann Byerwalter |
Corporate Officer |
Apr 1, 2000 | |
| David Entwistle |
Corporate Officer |
Jul 5, 2016 | |
| W-2 Managing Employee |
Jul 5, 2016 | ||
| Kaye Foster |
Corporate Officer |
Nov 1, 2014 | |
| Cecilia Herbert |
Corporate Officer |
Sep 1, 2016 | |
| Cynthia Gulick |
Corporate Director |
Sep 7, 2021 | |
| W-2 Managing Employee | Sep 7, 2021 | ||
| William Brody |
Corporate Officer |
Nov 1, 2015 | |
| Jay Bakul Shah |
Corporate Officer |
Sep 1, 2022 | |
| Lisa M Sangam |
W-2 Managing Employee |
Sep 7, 2021 | |
| Jeffrey W Bird |
Corporate Officer |
Jan 1, 2022 | |
| Gladys Rufo |
W-2 Managing Employee |
Nov 7, 2016 | |
| Marc Jones |
Corporate Officer |
Jan 1, 2020 | |
| Jonathan Jay Coslet |
Corporate Officer |
Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030731000003 | CA | Part a Provider - Hospital | 6709797491 |
6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Jose, CA; Los Altos, CA; Stanford, CA; Palo Alto, CA; Emeryville, CA; Pleasanton, CA; Los Gatos, CA; Redwood City, CA… |
National Provider Directory
Locations
6121 Hollis St
Emeryville, CA 94608
Phone (510) 266-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 070000662 | CA | Yes |
Addresses
Primary practice location
6121 Hollis St
Emeryville, CA 94608-2077
Mailing address
6121 Hollis St
Emeryville, CA 94608-2077
Other names
- Stanford Health Care Emeryville 6121
Other providers in Emeryville, CA
- Alaysia Springer
- Brandon Squibb
- Stac Physical Therapy Emeryville, Inc.
- Yolanda D Standifer
- Stanford Health Care
- Stephen Stauffer
- Jill Alison Stevens
- Still Waters Psychotherapy Inc.
- Warren J Strudwick Jr.
- Bradley Hall Stuart
All providers in Emeryville, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.