Active NPI
Raphael Guzman, M.D.
- Neurological Surgery Physician
- Stanford, CA
National Provider Identifier
1366639858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- F5409
- Practice address
- 300 Pasteur Dr
RM R211, MC 5327
Stanford, CA 94305-2200 - Phone
- (650) 497-8775
- Fax
- (650) 725-5086
- NPI assigned
- Sep 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | F5409 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
RM R211, MC 5327
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
RM R211, MC 5327
Stanford, CA 94305-2200
Phone (650) 497-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F5409 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Neurological Surgery | Past | Accepting new patients |
| LPCH Medical Group Div of Lucile | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1366639858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "RM R211, MC 5327",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-497-8775",
"fax_number": "650-725-5086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "RM R211, MC 5327",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-497-8775",
"fax_number": "650-725-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "RAPHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "F5409",
"primary": true
}
],
"identifiers": [],
"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 Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.