Individual provider Active NPI

Edward D. Esplin, MD, PHD

  • Internal Medicine Physician
  • Stanford, CA
National Provider Identifier
1689883308
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A116495 Issued in CA
Practice address
300 Pasteur Dr
Alway M302
Stanford, CA 94305-2200
Phone
(408) 245-2375
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A116495 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Alway M302
Stanford, CA 94305-2200

Mailing address

750 Holbrook PL
Sunnyvale, CA 94087-1802
Phone (408) 245-2375

Other identifiers 1

IdentifierTypeStateIssuer
BP1-0022642OtherINSTITUTIONAL PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131029000171 CA Practitioner - General PracticePractitioner - Medical Genetics and Genomics 1456424357 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Medical Genetics and Genomics
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evelyn J Nakagawa MD IncGroup PAC ID 2466846399, 3 clinicians

Practice addresses (Care Compare)

2800 Benedict Dr
San Leandro, CA 94577-6840
Phone (415) 945-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A116495CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Evelyn J Nakagawa MD Inc Internal Medicine CurrentSince Oct 18, 2023 Accepting new patients
Geen Inc Current Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

1141 Catalina Dr
#194
Livermore, CA 94550

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

300 Douglas St
Petaluma, CA 94952
Phone (415) 945-1010

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1689883308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HOLBROOK PL",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871802",
            "telephone_number": "408-245-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "ALWAY M302",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "408-245-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPLIN",
        "first_name": "EDWARD",
        "middle_name": "D.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A116495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0022642",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.