Organization Active NPI

Stanford University Medical Center

  • General Acute Care Hospital
  • Stanford, CA
National Provider Identifier
1649574385
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
PA 20895 Issued in CA
Legal business name
STANFORD UNIVERSITY MEDICAL CENTER
Practice address
300 Pasteur Dr
Room A301, M/C 5325
Stanford, CA 94305-2200
Phone
(650) 725-2184
Fax
(650) 723-7434
NPI assigned
Jan 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Jaimie Henderson, M.D.
Title
Associate Professor of Neurosurgery
Phone
(650) 723-5574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X PA 20895 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Room A301, M/C 5325
Stanford, CA 94305-2200

Mailing address

5065 New Trier Ave
San Jose, CA 95136-2721

National Provider Directory

National Provider Directory
Tax ID family
UCSF Stanfordhealth Car49 organizations share this tax ID, including this one

Other organizations with this tax ID 48

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

View all 48

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1649574385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 NEW TRIER AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "ROOM A301, M/C 5325",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-725-2184",
            "fax_number": "650-723-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JAIMIE",
        "authorized_official_title_or_position": "ASSOCIATE PROFESSOR OF NEUROSURGERY",
        "authorized_official_telephone_number": "650-723-5574",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "PA 20895",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 10, 2011; 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.