Active NPI
Stanford Hospital and Clinics
- Specialist
- Stanford, CA
National Provider Identifier
1629128087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G28455
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G28455 | Other | CA | STATE MED LICENSE |
National Provider Directory
National Provider Directory- Tax ID family
- Stanford Univ Clinicob
Other organizations with this tax ID 16
Organizations that report the same tax identification number in the National Provider Directory.
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- Counselor
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- Children's Hospital
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- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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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.