Individual provider Active NPI

Waraporn M Denjalearn, NP

  • Nurse Practitioner
  • Stanford, CA
National Provider Identifier
1669760310
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
21483 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 497-8000
NPI assigned
Jul 15, 2011
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121101000294 CA Practitioner - Nurse Practitioner 2769654714 Reassigns benefits to 6 organizations
I20220609003074 TX Practitioner - Nurse Practitioner 2769654714 Reassigns benefits to 1 organization
I20251202002588 MI Practitioner - Nurse Practitioner 2769654714 Reassigns benefits to 1 organization

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
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians

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

LicenseStateTypeSpecialty
71007132AINMDNurse Practitioner
4704432529MIMDNurse Practitioner
117578WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Mountainview Multispecialty Clinics, LLC CurrentSince Mar 13, 2026 Accepting new patients
Hospitalist Medicine Physicians of California, Inc CurrentSince May 20, 2017 Accepting new patients
Open Door Community Health Centers CurrentSince Jul 16, 2024 Accepting new patients
Promed Healthcare CurrentSince Oct 2, 2025 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 CurrentSince Oct 2, 2025 Accepting new patients
Open Door Community Health Centers CurrentSince Jul 16, 2024 Accepting new patients
Utmb Faculty Group Practice CurrentSince Oct 14, 2024 Accepting new patients
Chase Dennis Emergency Medical Group Inc Nurse Practitioner Past Accepting new patients
Hill Physicians Medical Group - PPO Program PastSince Jul 1, 2024 Accepting new patients
Desert Group Services, PC Past Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: wdenjalearn@direct.iuhealth.org
  • Direct secure messaging: wdenjalearn3116495@oc.providencedirect.org
  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.