Individual provider Active NPI

David Allan Prince, M.D.

  • General Acute Care Hospital
  • Stanford, CA
National Provider Identifier
1417091505
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
G7803 Issued in CA
Practice address
300 Pasteur Dr.
Stanford Univ. School of Medicine
Stanford, CA 94305-5122
Phone
(650) 723-5522
Fax
(650) 723-1080
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X G7803 CA Primary

Addresses

Primary practice location

300 Pasteur Dr.
Stanford Univ. School of Medicine
Stanford, CA 94305-5122

Mailing address

333 Westridge Dr
Portola Valley, CA 94028-7716
Phone (650) 723-5522

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G7803CAMDGeneral Acute Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417091505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WESTRIDGE DR",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287716",
            "telephone_number": "650-723-5522",
            "fax_number": "650-723-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR.",
            "address_2": "STANFORD UNIV. SCHOOL OF MEDICINE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055122",
            "telephone_number": "650-723-5522",
            "fax_number": "650-723-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "DAVID",
        "middle_name": "ALLAN",
        "name_prefix": "Prof.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "G7803",
            "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 Jul 8, 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.

Verify at the official NPI Registry.