Individual provider Active NPI

Steven Richard Sanislo, MD

  • Retina Specialist (Ophthalmology) Physician
  • Stanford, CA
National Provider Identifier
1356409882
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
G74925 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X G74925 CA Primary
Ophthalmology Physician 207W00000X G74925 CA

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

2452 Watson Court
Palo Alto, CA 94303
Phone (650) 323-0231

Other practice location 1

2452 Watson Court
Palo Alto, CA 94303
Phone (650) 721-6888

Other identifiers 1

IdentifierTypeStateIssuer
00G749250MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080429000869 CA Practitioner - OphthalmologyPractitioner - Other (Physician) 7214016435 Reassigns benefits to 6 organizations
I20171019002359 NV Practitioner - Ophthalmology 7214016435 Reassigns benefits to 1 organization
I20241108003880 TX Practitioner - Ophthalmology 7214016435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

2452 Watson CT
Palo Alto, CA 94303-3216
Phone (650) 723-6995

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74925CAMDMedical license number
G74925CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Ophthalmology Current Accepting new patients
County of Santa Clara CurrentSince Nov 4, 2018 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Mar 21, 2010 Accepting new patients
Stanford Health Care CurrentSince Jun 13, 1997 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara Current Accepting new patients
Magella Medical Associates Billing, Inc. CurrentSince Aug 10, 2024 Accepting new patients
Stanford Health Care Current Accepting new patients
University Healthcare Alliance Ophthalmology CurrentSince Mar 2, 2020 Accepting new patients
County of Santa Clara CurrentSince Nov 4, 2018 Accepting new patients
Stanford Health Care CurrentSince Jun 13, 1997 Accepting new patients
County of Santa Clara CurrentSince Nov 4, 2018 Accepting new patients
County of Santa Clara CurrentSince Nov 4, 2018 Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Piney Woods Healthcare System LP Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
Dignity Health Past Accepting new patients
Pediatrix Medical Group of Georgia, P.C. Past Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Affinity Medical Group Past Accepting new patients
Pediatrix Medical Group of Georgia, P.C. Past Accepting new patients
County of Santa Clara Past Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Locations (25 of 35)

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

5915 Hollis St
Ste B
Emeryville, CA 94608
Phone (510) 525-2400

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

27212 Calaroga Ave
Hayward, CA 94545
Phone (510) 783-5532

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

15425 Los Gatos Blvd
Ste 120
Los Gatos, CA 95032
Phone (408) 340-5700

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2452 Watson Ct
Ste 1700
Palo Alto, CA 94303
Phone (650) 723-5281

2452 Watson Ct
Palo Alto, CA 94303
Phone (650) 721-6888

795 El Camino Real
#1112
Palo Alto, CA 94301

5725 W Las Positas Blvd
Ste 100B
Pleasanton, CA 94588
Phone (925) 621-7700

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
Fl 3
San Jose, CA 95128
Phone (408) 358-2511

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

751 S Bascom Ave
Bldg Q
San Jose, CA 95128
Phone (408) 885-6770

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: ssanislo3662@direct.stanfordhealthcare.org

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1356409882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 WATSON COURT",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94303",
            "telephone_number": "650-323-0231",
            "fax_number": "650-323-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2452 Watson Court",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "94303",
            "country_code": "US",
            "telephone_number": "650-721-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANISLO",
        "first_name": "STEVEN",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "G74925",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G74925",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G749250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.