Organization Active NPI

Stanford Hospital and Clinics

  • Specialist
  • Stanford, CA
National Provider Identifier
1629128087
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G28455 Issued in CA
Legal business name
STANFORD HOSPITAL AND CLINICS
Practice address
300 Pasteur Dr
RM. A160
Stanford, CA 94305-2200
Phone
(650) 723-6961
Fax
(650) 725-8418
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Martha Marsh
Title
Ceo
Phone
(650) 723-5708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X G28455 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
RM. A160
Stanford, CA 94305-2200

Mailing address

750 Welch Rd
Suite 210
Palo Alto, CA 94304-1507
Phone (650) 498-5691

Other identifiers 1

IdentifierTypeStateIssuer
G28455OtherCASTATE MED LICENSE

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

Locations

750 Welch Rd
Ste 210
Palo Alto, CA 94304
Phone (650) 498-6084

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629128087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WELCH RD",
            "address_2": "SUITE 210",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041507",
            "telephone_number": "650-498-5691",
            "fax_number": "650-498-5692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "RM. A160",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-6961",
            "fax_number": "650-725-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD HOSPITAL AND CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-723-5708",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G28455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LICENSE",
            "identifier": "G28455",
            "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 7, 2023; 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.