Lucile Packard Children'S Hospital

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

15119 Issued in CA

Legal business name

LUCILE PACKARD CHILDREN'S HOSPITAL

Practice address

725 Welch Rd
Palo Alto, CA 94304-1601

Phone

(650) 497-8890

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Miss Maria Rosalie Eresmas Simon, RN, CNS, PNP

Title

Pediatric Nurse Practitioner

Phone

(650) 497-8890

Specialties & licenses 1

Addresses

Practitioners 1

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

• Maria Rosalie Simon Tang, N.P.

  • Pediatric Nurse Practitioner
  • Palo Alto, CA
  • NPI 1154623890
  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285832634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 AYER LN",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950354646",
            "telephone_number": "408-946-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-497-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILE PACKARD CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MARIA ROSALIE",
        "authorized_official_middle_name": "ERESMAS",
        "authorized_official_title_or_position": "PEDIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "650-497-8890",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN, CNS, PNP"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "15119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucence Health Inc.
• Cynthia Ann Lucero, M.D.
• Matthew Frederick Luchette, MD
• Lucile Packard Children'S Hospital
• Lucile Packard Children'S Hospital
• Lucile Packard Children'S Hospital
• Lucile Packard Children'S Hospital at Stanford
• Lucile Packard Children'S Hospital Stanford
• Lucile Packard Childrens Hospital
• Lucile Packard Childrens Hospital

• Children's Hospital in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Children's Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.