NPIMap

Organization Active NPI

Stanford University

  • Special Hospital
  • Palo Alto, CA
National Provider Identifier
1639383193
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
A103091 Issued in CA
Legal business name
STANFORD UNIVERSITY
Practice address
780 Welch Rd
Suite 106
Palo Alto, CA 94304-1516
Phone
(650) 725-4738
Fax
(650) 721-1443
NPI assigned
May 10, 2007
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Jair Munoz Mendoza, M.D
Title
Nephrology Fellow
Phone
(650) 641-0333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X A103091 CA
Special Hospital 284300000X A103091 CA Primary
Military Hospital 286500000X A103091 CA

Addresses

Primary practice location

780 Welch Rd
Suite 106
Palo Alto, CA 94304-1516

Mailing address

834 Esplanada Way
Stanford, CA 94305-1015
Phone (650) 641-0333

National Provider Directory

National Provider Directory
Tax ID family
Stanford HLTH SVC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

780 Welch Rd
Ste 106
Palo Alto, CA 94304
Phone (650) 498-4809

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1639383193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 ESPLANADA WAY",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943051015",
            "telephone_number": "650-641-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 WELCH RD",
            "address_2": "SUITE 106",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041516",
            "telephone_number": "650-725-4738",
            "fax_number": "650-721-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "MUNOZ MENDOZA",
        "authorized_official_first_name": "JAIR",
        "authorized_official_title_or_position": "NEPHROLOGY FELLOW",
        "authorized_official_telephone_number": "650-641-0333",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "A103091",
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "A103091",
            "primary": true
        },
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "A103091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.