Active NPI
Stavros Angelos Georganos, M.D.
- Neuroradiology Physician
- Stanford, CA
National Provider Identifier
1578788295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- A96207
- Practice address
- Stanford University School of Medicine, Radiology
300 Pasteur Drive , S-060
Stanford, CA 94305-5105 - Phone
- (650) 497-8000
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | A96207 | CA | Primary |
Addresses
Primary practice location
Stanford University School of Medicine, Radiology
300 Pasteur Drive , S-060
Stanford, CA 94305-5105
Mailing address
222 Washington Ave
Apt 19
Santa Monica, CA 90403-3636
Phone (310) 871-4248
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96207 | CA | MD | Neuroradiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1578788295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 WASHINGTON AVE",
"address_2": "APT 19",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904033636",
"telephone_number": "310-871-4248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STANFORD UNIVERSITY SCHOOL OF MEDICINE, RADIOLOGY",
"address_2": "300 PASTEUR DRIVE , S-060",
"city": "STANFORD",
"state": "CA",
"postal_code": "943055105",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGANOS",
"first_name": "STAVROS",
"middle_name": "ANGELOS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "A96207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.