Active NPI
LPCH Medical Group Div of Lucile
- 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
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 498-6762
- NPI assigned
- May 12, 2006
- 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)
3700 Sunset Ln
Ste 6
Antioch, CA 94509
Phone (925) 755-8500
824 Bay Ave
Ste 70
Capitola, CA 95010
Phone (831) 464-6200
20126 Stanton Ave
Ste 201
Castro Valley, CA 94546
Phone (510) 237-6320
20126 Stanton Ave
Ste 200
Castro Valley, CA 94546
Phone (510) 881-4210
9000 Crow Canyon Rd
Ste S220
Danville, CA 94506
11875 Dublin Blvd
#B125
Dublin, CA 94568
6121 Hollis St
Ste 2
Emeryville, CA 94608
Phone (510) 587-9600
6121 Hollis St
Ste 900
Emeryville, CA 94608
Phone (510) 974-2800
7710 N Fresno St
Ste 102
Fresno, CA 93720
Phone (559) 437-9100
27212 Calaroga Ave
Hayward, CA 94545
Phone (510) 783-5532
1134 Murrieta Blvd
#A
Livermore, CA 94550
1134 Murrieta Blvd
Ste A
Livermore, CA 94550
Phone (925) 449-7795
960 N San Antonio Rd
Los Altos, CA 94022
Phone (650) 724-8844
16795 Lark Ave
Los Gatos, CA 95032
14651 S Bascom Ave
Ste 200
Los Gatos, CA 95032
Phone (408) 356-2154
718 University Ave
Los Gatos, CA 95032
Phone (408) 354-2114
14777 Los Gatos Blvd
Los Gatos, CA 95032
16795 Lark Ave
Ste 230
Los Gatos, CA 95032
Phone (408) 395-6837
14601 S Bascom Ave
Ste 112
Los Gatos, CA 95032
14651 S Bascom Ave
Ste 112
Los Gatos, CA 95032
Phone (408) 356-9300
777 Knowles Dr
Los Gatos, CA 95032
14651 S Bascom Ave
Ste 110
Los Gatos, CA 95032
Phone (408) 356-8681
4700 Bohannon Dr
#5530
Menlo Park, CA 94025
61 Camino Alto
Ste 103
Mill Valley, CA 94941
Phone (415) 383-0918
1401 Spanos Ct
Ste 233
Modesto, CA 95355
Practitioners & affiliated clinicians
Practitioners 4,401
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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Pediatrics
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-
- Pediatric Anesthesiology Physician
- Palo Alto, CA
- NPI 1437264793
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- Pediatric Hematology & Oncology Physician
- Palo Alto, CA
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Pediatrics
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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.