Veterans Affairs Palo Alto

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

504790 Issued in CA

Legal business name

VETERANS AFFAIRS PALO ALTO

Practice address

3801 Miranda Ave
Palo Alto, CA 94304-1207

Phone

(650) 493-5000

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Ray Renfro, RN

Title

Nurse Manager/Clinical Coordinator

Phone

(650) 493-5000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518068550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34495 SHENANDOAH PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945553306",
            "telephone_number": "650-493-5000",
            "fax_number": "650-849-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS AFFAIRS PALO ALTO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENFRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "NURSE MANAGER/CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "650-493-5000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "504790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Peter Verdini, MD
• Sonia Verma
• Vernon J Adams Jr. DMD Inc
• Katherine Michelle Vesta, NP-C
• Veterans Administration Palo Alto Health Care System
• Veterans Affairs Palo Alto Health Care Systems
• Veterans Hospital
• Melissa Viatori, N.P.
• Arlene Vicente-Velasco
• Erika Dominique Vicente, MD

• Primary Care Clinic/Center in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.