Active NPI
Leanne Rae Perez, NP
- Acute Care Nurse Practitioner
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP 17007
- Practice address
- 300 Pasteur Dr
Department of CV Surgery, Falk Building 2ND Floor
Stanford, CA 94305-2200 - Phone
- (650) 725-0524
- NPI assigned
- Feb 20, 2007
- Last updated
- Jan 11, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP 17007 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Department of CV Surgery, Falk Building 2ND Floor
Stanford, CA 94305-2200
Mailing address
PO Box 400
Redwood City, CA 94064-0400
Phone (650) 387-3940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP 17007 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients | |
| Cep America - California | Current | Accepting new patients | |
| Solano Gateway Medical Group Inc | Current | Accepting new patients |
Locations
1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
300 Pasteur Dr
Bldg 2ND
Stanford, CA 94305
Phone (650) 725-0524
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Fairfield, CA
- NPI 1952344293
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1285779058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 400",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940640400",
"telephone_number": "650-387-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "DEPARTMENT OF CV SURGERY, FALK BUILDING 2ND FLOOR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-725-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LEANNE",
"middle_name": "RAE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "NP 17007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.