NPIMap

Organization Active NPI

Lucile Packard Children's Hospital

  • Children's Hospital
  • Menlo Park, CA
National Provider Identifier
1316218605
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
5646 Issued in CA
Legal business name
LUCILE PACKARD CHILDREN'S HOSPITAL
Practice address
321 Middlefield Rd
Suite 130
Menlo Park, CA 94025-3500
Phone
(650) 497-0245
Fax
(650) 462-0225
NPI assigned
Jan 19, 2012
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mrs. Jody WinzelbergNPI 1770751992
Title
Director of Rehabilitation
Phone
(650) 498-2738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 5646 CA Primary

Addresses

Primary practice location

321 Middlefield Rd
Suite 130
Menlo Park, CA 94025-3500

Mailing address

321 Middlefield Rd
Suite 130
Menlo Park, CA 94025-3500
Phone (650) 497-0245

Other identifiers 1

IdentifierTypeStateIssuer
053305MedicaidCA

Other names 1

  • LPCH Other name

National Provider Directory

National Provider Directory
Tax ID family
Lucile Packard Childrens Hospital12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

321 Middlefield Rd
Ste 130
Menlo Park, CA 94025
Phone (650) 497-0245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1316218605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MIDDLEFIELD RD",
            "address_2": "SUITE 130",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253500",
            "telephone_number": "650-497-0245",
            "fax_number": "650-462-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MIDDLEFIELD RD",
            "address_2": "SUITE 130",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253500",
            "telephone_number": "650-497-0245",
            "fax_number": "650-462-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILE PACKARD CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "WINZELBERG",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "DIRECTOR OF REHABILITATION",
        "authorized_official_telephone_number": "650-498-2738",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "CA",
            "license": "5646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053305",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LPCH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.