Active NPI
Lilinete Polsunas, MD
- Pediatric Anesthesiology Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Anesthesiology Physician
- License
- A175846
- Practice address
- 300 Pasteur Dr RM H3589
Stanford, CA 94305-2200 - Phone
- (650) 497-8000
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A175846 | CA | |
| Pediatrics Physician | 208000000X | A175846 | CA | |
| Pediatric Anesthesiology Physician | 207LP3000X | A175846 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr RM H3589
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr RM H3589
Stanford, CA 94305-2200
Phone (650) 497-8000
Other practice location 1
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone (412) 647-6340
Other names 1
- Lilinete Roldan-Hernandez
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A175846 | CA | MD | Pediatric Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Anesthesiology | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients |
Locations
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
300 Pasteur Dr
Rm H3589
Stanford, CA 94305
Phone (650) 498-4899
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1326576224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR RM H3589",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR RM H3589",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "3600 Forbes Ave Ste 140",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152133410",
"country_code": "US",
"telephone_number": "412-647-6340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLSUNAS",
"first_name": "LILINETE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A175846",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A175846",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "CA",
"license": "A175846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LILINETE",
"last_name": "ROLDAN-HERNANDEZ",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 11, 2024; 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.