NPIMap

Organization Active NPI

Stanford Health Care

Doing business as Stanford Medical Center A Trade Name for Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
National Provider Identifier
1437292927
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
STANFORD HEALTH CARE
Doing business as
Stanford Medical Center A Trade Name for Stanford Health Care
Practice address
300 Pasteur Drive
Stanford, CA 94305
Phone
(650) 723-4000
Fax
(650) 498-5840
NPI assigned
Feb 14, 2007
Last updated
Sep 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Jill Buathier
Title
Chief Revenue Cycle Officer
Phone
(650) 723-4000

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary
Anesthesiology Physician 207L00000X
Dermatology Physician 207N00000X
Emergency Medicine Physician 207P00000X
Internal Medicine Physician 207R00000X
Neurological Surgery Physician 207T00000X
Obstetrics & Gynecology Physician 207V00000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
Pediatrics Physician 208000000X
Neurology Physician 2084N0400X
Diagnostic Radiology Physician 2085R0202X
Surgery Physician 208600000X
Urology Physician 208800000X
General Practice Physician 208D00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X

Addresses

Primary practice location

300 Pasteur Drive
Stanford, CA 94305

Mailing address

7999 Gateway Blvd Ste 200
Newark, CA 94560-1197
Phone (650) 723-4000

Other identifiers 8

IdentifierTypeStateIssuer
034512MedicaidOR
807248900MedicaidID
H5810PMedicaidAR
HS810PMedicaidAK
000A0561MedicaidNM
095552MedicaidIL
1288115MedicaidNV
4103358MedicaidMT

Other names 2

  • Stanford Medical Center A Trade Name for Stanford Health Care Doing business as
  • Stanford Hospital and Clinics Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, FL, MD, GA, MA, RI, PA, NC, TX, IL, UT13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
O20030731000003 CA Part A Provider - Hospital 6709797491 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: San Jose, CA; Los Altos, CA; Stanford, CA; Palo Alto, CA; Emeryville, CA; Pleasanton, CA; Los Gatos, CA; Redwood City, CA…
O20031124000348 CA Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 4,611 practitioners
2 other NPIs on this enrollment
Practice locations: Redwood City, CA; Pleasanton, CA; San Diego, CA; San Jose, CA; San Ramon, CA; Santa Maria, CA; Stanford, CA; Templeton, CA…
O20120605000404 NV Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 4 practitioners
Practice locations: Henderson, NV
O20200702000784 FL Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 2 practitioners
Practice locations: Coral Springs, FL; Lutz, FL; St Petersburg, FL
O20200709000211 MD Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 2 practitioners
Practice locations: Baltimore, MD; Reisterstown, MD; Pikesville, MD
O20200715000478 GA Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA; Brookhaven, GA
O20200724001165 MA Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 4 practitioners
Practice locations: Winchester, MA; Newton, MA; Needham, MA; Cambridge, MA; Brookline, MA; Boston, MA
O20200803002161 RI Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 1 practitioner
Practice locations: East Greenwich, RI
O20201007001246 PA Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 1 practitioner
Practice locations: Eynon, PA; Glen Mills, PA; Philadelphia, PA
O20211006001314 NC Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 2 practitioners
Practice locations: Winterville, NC
O20240522000100 TX Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 1 practitioner
Practice locations: Prosper, TX
O20241023003355 IL Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 1 practitioner
Practice locations: Westchester, IL
O20251114003789 UT Part B Supplier - Clinic/Group Practice 6709797491 Receives reassigned benefits from 1 practitioner
Practice locations: Orem, UT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437292927. Details of each certification follow.

Hospital certification: CCN 050441

Legal name
STANFORD HEALTH CARE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1968
Last certification
Jul 25, 2025
Beds
613
Ownership / control type
Private (not for profit)
Most recent change of ownership
Apr 1, 2000 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Apr 12, 1957 in CA
Enrollment address
300 Pasteur Dr
Stanford, CA 94305-2200
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Psychiatric unit, Rehabilitation unit, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Stanford Health CareCCN 050441 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Stanford Hospital & ClinicsCCN 05T441
Ownership
Non-profit
Certified
Sep 1, 1992

This is a unit of this hospital with its own CMS Certification Number. Care Compare reports it separately, and it has no NPI of its own. How units are connected

National Provider Directory

National Provider Directory

Locations (25 of 267)

20055 Lake Chabot Rd
Ste 130
Castro Valley, CA 94546
Phone (510) 888-0657

1850 Sullivan Ave
Ste 540
Daly City, CA 94015
Phone (650) 755-6900

319 Diablo Rd
Danville, CA 94526
Phone (925) 314-0260

1798 Bay Rd
Ste A
East Palo Alto, CA 94303
Phone (650) 330-7400

6121 Hollis St
Ste 2
Emeryville, CA 94608
Phone (510) 549-8480

6121 Hollis St
Ste 400
Emeryville, CA 94608
Phone (510) 266-5400

7130 N Millbrook Ave
Ste 131
Fresno, CA 93720

7710 N Fresno St
Ste 102
Fresno, CA 93720
Phone (559) 437-9100

1595 Soquel Dr
Los Angeles, CA 90074

500 Pasteur Dr
Los Angeles, CA 90074

780 Welch Rd
Ste 206 MC 5733
Los Angeles, CA 90074

15400 National Ave
Ste 201
Los Gatos, CA 95032
Phone (408) 358-8444

16400 Lark Ave
Los Gatos, CA 95032
Phone (408) 560-9900

555 Knowles Dr
Los Gatos, CA 95032
Phone (408) 379-8450

555 Knowles Dr
Ste 211
Los Gatos, CA 95032
Phone (408) 866-6651

708 Blossom Hill Rd
Ste 115
Los Gatos, CA 95032

9300 Valley Childrens Pl
#13
Madera, CA 93636
Phone (559) 353-5770

1300 Crane St
#5804
Menlo Park, CA 94025

2575 Sand Hill Rd
Menlo Park, CA 94025

321 Middlefield Rd
Ste 225
Menlo Park, CA 94025
Phone (650) 497-8977

321 Middlefield Rd
Ste 275
Menlo Park, CA 94025
Phone (650) 260-4495

724 Oak Grove Ave
Ste 120
Menlo Park, CA 94025
Phone (650) 838-0260

795 Willow Rd
Menlo Park, CA 94025
Phone (650) 324-1470

795 Willow Rd
Bldg 324
Menlo Park, CA 94025
Phone (650) 614-9825

1401 Spanos Ct
Ste 233
Modesto, CA 95355

Ownership & related parties

All disclosed owners & managing parties 35

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lloyd Brooks Minor Individual Corporate DirectorBoard Member Dec 1, 2012
Mindy Rogers Individual Corporate OfficerBoard Member Vice Chair Nov 1, 2018
Eila C Skinner Individual Corporate OfficerBoard Member Jan 1, 2023
Rachelle Nolan Individual W-2 Managing EmployeeProvider Enrollment Coor Oct 12, 2015
Lata Krishnan Individual Corporate OfficerBoard Member Apr 1, 2018
Gurinder Sarao Individual W-2 Managing EmployeeCredentialing Assistant Sep 1, 2017
Amit Sinha Individual Corporate OfficerBoard Member Apr 1, 2023
Jill Buathier Individual W-2 Managing EmployeeChief Revenue Cycle Officer Feb 28, 2013
Operational/Managerial ControlChief Revenue Cycle Officer Feb 28, 2013
Hamid R Moghadam Individual Corporate OfficerBoard Member Sep 1, 2021
Kavitark R Shriram Individual Corporate OfficerBoard Member Sep 1, 2019
The Board of Trustees of the Leland Stanford Junior University Organization, Stanford, CA Corporation Other Jul 1, 1968
Naira Guerrero Individual W-2 Managing EmployeeCredentialing Assistant Nov 18, 2018
Robert T Santos Individual Corporate OfficerBoard Member Jan 1, 2021
Hanh Truong Individual W-2 Managing EmployeeProvider Enrollment Coor Nov 16, 2020
Jeffrey J Rothschild Individual Corporate OfficerBoard Member Jan 1, 2021
Mark Leslie Individual Corporate OfficerBoard Member Sep 1, 2015
Paul King Individual Corporate OfficerBoard Member Jan 28, 2019
Karen Jordan Individual Corporate OfficerBoard Member Jan 1, 2023
Susan Bechtel Individual Corporate OfficerBoard Member Nov 1, 2015
Stanford Health Care Organization, Stanford, CA Non-profit 5% Or Greater Direct Ownership Interest Feb 27, 2013 100%
Thomas Jude Montine Individual Corporate OfficerBoard Member Jan 1, 2022
Randall Livingston Individual Corporate OfficerUniversity Liaison for Stanford Jan 1, 2019
Sara Abbasu Individual Corporate OfficerBoard Member May 1, 2021
Mariann Byerwalter Individual Corporate OfficerBoard Member Apr 1, 2000
David Entwistle Individual Corporate OfficerPresident & Ceo Jul 5, 2016
W-2 Managing EmployeePresident & Ceo Jul 5, 2016
Kaye Foster Individual Corporate OfficerBoard Member Nov 1, 2014
Cecilia Herbert Individual Corporate OfficerBoard Member Sep 1, 2016
Cynthia Gulick Individual Corporate DirectorDirector, MSS & Credentialing Sep 7, 2021
W-2 Managing Employee Sep 7, 2021
William Brody Individual Corporate OfficerBoard Member Nov 1, 2015
Jay Bakul Shah Individual Corporate OfficerBoard Member Sep 1, 2022
Lisa M Sangam Individual W-2 Managing EmployeeManager of MSSD Sep 7, 2021
Jeffrey W Bird Individual Corporate OfficerBoard Member Jan 1, 2022
Gladys Rufo Individual W-2 Managing EmployeeProvider Enrollment Coor Nov 7, 2016
Marc Jones Individual Corporate OfficerBoard Member Chair Jan 1, 2020
Jonathan Jay Coslet Individual Corporate OfficerBoard Member Jan 1, 2022

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stanford Health Care Tri-ValleyPleasanton, CA, CCN 050283 Hospital 5% Or Greater Direct Ownership Interest (100%) May 18, 2015
Stanford Health CareStanford, CA, CCN 050441 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 27, 2013
Stanford Health ServicesStanford, CA, CCN 05S441 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5,890

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.

View all 5,890

Affiliated clinicians 3,901

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 3,901

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1437292927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7999 GATEWAY BLVD STE 200",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601197",
            "telephone_number": "650-723-4000",
            "fax_number": "650-498-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-723-4000",
            "fax_number": "650-498-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "BUATHIER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CHIEF REVENUE CYCLE OFFICER",
        "authorized_official_telephone_number": "650-723-4000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034512",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807248900",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H5810P",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS810P",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000A0561",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095552",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1288115",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4103358",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanford Medical Center A Trade Name for Stanford Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stanford Hospital and Clinics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.