Active NPI
LPCH Medical Group Div of Lucile
Doing business as Lucile Salter Packard Children's Hospital at Stanford
- Children's Hospital
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Children's Hospital
- Legal business name
- LPCH MEDICAL GROUP DIV OF LUCILE
- Doing business as
- Lucile Salter Packard Children's Hospital at Stanford
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 498-6762
- NPI assigned
- May 12, 2006
- Last updated
- Aug 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Jean Haering
- Title
- Cfo
- Phone
- (650) 721-2222
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | |||
| Children's Hospital | 282NC2000X | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
4700 Bohannon Dr
MC 5530
Menlo Park, CA 94025-1031
Other names 1
- Lucile Salter Packard Children's Hospital at Stanford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations (25 of 223)
1441 N 12th St
Fl 3
Phoenix, AZ 85006
Phone (602) 521-5700
985 Atlantic Ave
Ste 250
Alameda, CA 94501
Phone (510) 263-3300
3351 El Camino Real
Atherton, CA 94027
Phone (303) 570-9181
1601 El Camino Real
Ste 101
Belmont, CA 94002
Phone (650) 591-9355
3010 Colby St
Berkeley, CA 94705
Phone (510) 204-2500
20126 Stanton Ave
Ste 201
Castro Valley, CA 94546
Phone (510) 237-6320
9000 Crow Canyon Rd
Ste S220
Danville, CA 94506
11875 Dublin Blvd
#B125
Dublin, CA 94568
39650 Liberty St
Ste 140
Fremont, CA 94538
Phone (510) 498-2086
7710 N Fresno St
Ste 102
Fresno, CA 93720
Phone (559) 437-9100
1134 Murrieta Blvd
#A
Livermore, CA 94550
1134 Murrieta Blvd
Ste A
Livermore, CA 94550
Phone (925) 449-7795
14601 S Bascom Ave
Ste 112
Los Gatos, CA 95032
14777 Los Gatos Blvd
Los Gatos, CA 95032
15425 Los Gatos Blvd
Ste 101
Los Gatos, CA 95032
Phone (408) 340-5700
16795 Lark Ave
Los Gatos, CA 95032
16795 Lark Ave
Ste 230
Los Gatos, CA 95032
Phone (408) 395-6837
555 Knowles Dr
Ste 207
Los Gatos, CA 95032
Phone (408) 374-1110
718 University Ave
Los Gatos, CA 95032
Phone (408) 354-2114
777 Knowles Dr
Los Gatos, CA 95032
321 Middlefield Rd
Ste 130
Menlo Park, CA 94025
Phone (650) 497-0245
4700 Bohannon Dr
#5530
Menlo Park, CA 94025
61 Camino Alto
Ste 103
Mill Valley, CA 94941
Phone (415) 383-0918
1444 Florida Ave
Ste 100
Modesto, CA 95350
Phone (209) 524-1668
1174 Castro St
Mountain View, CA 94040
Phone (415) 988-7880
Practitioners & affiliated clinicians
Practitioners 4,404
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Gastroenterology Physician
- San Jose, CA
- NPI 1629014576
-
- Clinical Child & Adolescent Psychologist
- Palo Alto, CA
- NPI 1619203189
-
- Pediatric Hematology & Oncology Physician
- Palo Alto, CA
- NPI 1154526762
Pediatrics
-
- Pediatric Allergy/Immunology Physician
- Palo Alto, CA
- NPI 1477014959
Pediatrics
-
- Pediatric Hematology & Oncology Physician
- Palo Alto, CA
- NPI 1053455535
-
- Pediatric Anesthesiology Physician
- Palo Alto, CA
- NPI 1437264793
-
- Pediatric Hematology & Oncology Physician
- Palo Alto, CA
- NPI 1891922324
Pediatrics
-
- Pediatric Transplant Hepatology Physician
- Palo Alto, CA
- NPI 1609133578
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628726400000",
"number": "1417907940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 BOHANNON DR",
"address_2": "MC 5530",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940251031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-498-6762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LPCH MEDICAL GROUP DIV OF LUCILE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A",
"authorized_official_last_name": "HAERING",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "650-721-2222"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lucile Salter Packard Children's Hospital at Stanford",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lucile Salter Packard Children's Hospital at Stanford",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.