Active NPI
Waraporn M Denjalearn, NP
- Nurse Practitioner
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 21483
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 497-8000
- NPI assigned
- Jul 15, 2011
- Last updated
- Oct 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 21483 | CA | |
| Nurse Practitioner | 363L00000X | 21483 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | 21483 | CA | |
| Nurse Practitioner | 363L00000X | 117578 | WV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | 71007132A | IN | |
| Nurse Practitioner | 363L00000X | 4704432529 | MI | |
| Family Nurse Practitioner | 363LF0000X | 0024170438 | VA | |
| Nurse Practitioner | 363L00000X | 71007132A | IN |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679
Phone (948) 208-0673
Other practice location 1
225 N Jackson Ave
San Jose, CA 95116-1603
Phone (951) 852-6341
Other practice location 2
707 W 2nd St
Bloomington, IN 47403-2209
Phone (812) 334-5081
Other practice location 3
3100 MacCorkle Ave SE Ste 101
Charleston, WV 25304-1215
Phone (304) 388-5395
Other practice location 4
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 334-5081
Other practice location 5
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 543-3687
Other practice location 6
1800 N California St
Stockton, CA 95204-6019
Phone (951) 852-6341
Other practice location 7
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-4390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1722 Shaffer St
Kalamazoo, MI 49048-1633
Phone (269) 343-1555
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71007132A | IN | MD | Nurse Practitioner |
| 4704432529 | MI | MD | Nurse Practitioner |
| 117578 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Mountainview Multispecialty Clinics, LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Family | Current | Accepting new patients |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Acute Care | Current | Accepting new patients |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| Chase Dennis Emergency Medical Group Inc | Nurse Practitioner | Past | Accepting new patients |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| Desert Group Services, PC | Past | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
1275 8th St
Arcata, CA 95521
785 18th St
Arcata, CA 95521
Phone (707) 822-2481
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
3150 N Tenaya Way
Ste 260
Las Vegas, NV 89128
Phone (702) 870-2099
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
250 Blossom St
Fl 4
Webster, TX 77598
Phone (409) 772-3695
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- wdenjalearn@direct.iuhealth.org
- wdenjalearn3116495@oc.providencedirect.org
- wdenjalearn68550@direct.utmb.edu
Organizations & group practices 17
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 Beacon Medical Group Michigan
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
dba Del Norte Community Health Center
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1497840656
-
- Emergency Medicine Physician
- Modesto, CA
- NPI 1568992923
-
dba Carbon Health
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
dba Lucile Salter Packard Children's Hospital at Stanford
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
dba Telehealth & Visiting Specialist Center
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1336173020
-
dba Open Door Downtown
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1831713452
-
dba Beacon Medical Group Michigan
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1720009954
Acute Care
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
-
dba University of Texas Medical Branch
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792713600000",
"number": "1669760310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 HEALTH CAMPUS DR STE 200",
"city": "ROCKINGHAM",
"state": "VA",
"postal_code": "228018679",
"telephone_number": "948-208-0673"
},
{
"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": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "225 N Jackson Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951161603",
"country_code": "US",
"telephone_number": "951-852-6341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 W 2nd St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474032209",
"country_code": "US",
"telephone_number": "812-334-5081",
"fax_number": "812-339-8344",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 MacCorkle Ave SE Ste 101",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041215",
"country_code": "US",
"telephone_number": "304-388-5395",
"fax_number": "304-388-5398",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2651 E Discovery Pkwy",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IN",
"postal_code": "474089059",
"country_code": "US",
"telephone_number": "812-334-5081",
"fax_number": "812-334-5091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1959 NE Pacific St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981950001",
"country_code": "US",
"telephone_number": "206-543-3687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 N California St",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952046019",
"country_code": "US",
"telephone_number": "951-852-6341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2823 Fresno St",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "93721",
"country_code": "US",
"telephone_number": "559-459-4390",
"fax_number": "559-443-2681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DENJALEARN",
"first_name": "WARAPORN",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-15",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "21483",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "21483",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21483",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WV",
"license": "117578",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71007132A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704432529",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024170438",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71007132A",
"primary": false
}
],
"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 Oct 23, 2026; 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.