NPIMap

Organization Active NPI

Stanford University

  • Anatomic Pathology & Clinical Pathology Physician
  • Palo Alto, CA
National Provider Identifier
1538696299
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
STANFORD UNIVERSITY
Practice address
450 Serra Mall
Palo Alto, CA 94305-2004
Phone
(414) 897-4731
NPI assigned
May 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Dr. Neeraja Kambham, MD
Title
Program Director for Anatomic & Cli
Phone
(650) 725-5193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

450 Serra Mall
Palo Alto, CA 94305-2004

Mailing address

1717 Bath Rd
Apt a-08
Bristol, PA 19007-2747
Phone (414) 897-4731

National Provider Directory

National Provider Directory
Tax ID family
Stanford Univ Clinicob17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1538696299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 BATH RD",
            "address_2": "APT A-08",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190072747",
            "telephone_number": "414-897-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SERRA MALL",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943052004",
            "telephone_number": "414-897-4731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "KAMBHAM",
        "authorized_official_first_name": "NEERAJA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR FOR ANATOMIC & CLI",
        "authorized_official_telephone_number": "650-725-5193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 12, 2017; 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.