Organization Active NPI

Stanford Employer Health Clinics

  • Primary Care Clinic/Center
  • Santa Clara, CA
National Provider Identifier
1336647114
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
STANFORD EMPLOYER HEALTH CLINICS
Practice address
3165 Kifer Rd
Santa Clara, CA 95051-0804
Phone
(669) 294-8555
Fax
(669) 294-8567
NPI assigned
Jan 26, 2018
Last updated
Jun 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Authorized official

Name
Lawrence Yau-Tung Kwan
Title
Medical Director
Phone
(650) 450-0624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3165 Kifer Rd
Santa Clara, CA 95051-0804

Mailing address

1650 Technology Dr
San Jose, CA 95110-3809

National Provider Directory

National Provider Directory
Tax ID family
Stanford Employer Health Clinics8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1650 Technology Dr
San Jose, CA 95110

NPI Registry JSON

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1336647114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 TECHNOLOGY DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951103809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 KIFER RD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950510804",
            "telephone_number": "669-294-8555",
            "fax_number": "669-294-8567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD EMPLOYER HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "YAU-TUNG",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "650-450-0624"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.