Active NPI
Steven Richard Sanislo, MD
- Retina Specialist (Ophthalmology) Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- G74925
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G749250 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 47 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74925 | CA | MD | Medical license number |
| G74925 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Ophthalmology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Magella Medical Associates Billing, Inc. | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| University Healthcare Alliance | Ophthalmology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | 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
- 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.
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- Neonatal-Perinatal Medicine Physician
- Las Vegas, NV
- NPI 1992809412
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Federally Qualified Health Center (FQHC)
- Sunnyvale, CA
- NPI 1336326974
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Federally Qualified Health Center (FQHC)
- Gilroy, CA
- NPI 1922093533
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.