NPIMap

Organization Active NPI

Stanford Hospital and Clinic

Doing business as Stanford Medical Center

  • Dermatology Physician
  • Stanford, CA
National Provider Identifier
1598715930
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
STANFORD HOSPITAL AND CLINIC
Doing business as
Stanford Medical Center
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 498-7103
Fax
(650) 498-5840
NPI assigned
May 10, 2006
Last updated
Oct 3, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Simone Esson
Title
Acting Director
Phone
(650) 498-7103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

2680 Hanover St
Palo Alto, CA 94304-1117
Phone (650) 498-7103

Other names 1

  • STANFORD MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanford Hospital and C50 organizations share this tax ID, including this one

Other organizations with this tax ID 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1598715930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 HANOVER ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041117",
            "telephone_number": "650-498-7103",
            "fax_number": "650-498-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-498-7103",
            "fax_number": "650-498-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD HOSPITAL AND CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "ESSON",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "ACTING DIRECTOR",
        "authorized_official_telephone_number": "650-498-7103"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STANFORD MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 3, 2007; 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.