Active NPI
Daniel Lee Imler, MD
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- A93330
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-0000
- NPI assigned
- Mar 13, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A93830 | CA | |
| Clinical Informatics Physician | 2083C0008X | A93330 | CA | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | A93330 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-0000
Other practice location 1
840 Harrison Ave
Menino 1
Boston, MA 02118-2905
Phone (617) 414-4991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A933300 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A93830 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| San Francisco Emergency Medical Associates | Current | Accepting new patients | |
| Stanford Health Care | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients |
Locations
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lucile Salter Packard Children's Hospital at Stanford
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
Pediatrics
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1134110661
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Pediatrics
-
dba Stanford Health Care Specialty Pharmacy
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1629101126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-0000"
},
{
"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": "650-723-0000"
}
],
"practiceLocations": [
{
"address_1": "840 Harrison Ave",
"address_2": "Menino 1",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182905",
"country_code": "US",
"telephone_number": "617-414-4991",
"fax_number": "617-414-4999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMLER",
"first_name": "DANIEL",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A93830",
"primary": false
},
{
"code": "2083C0008X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Clinical Informatics",
"state": "CA",
"license": "A93330",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "CA",
"license": "A93330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A933300",
"state": "CA"
}
],
"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 Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.