The Palo Alto Diet, Inc.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

THE PALO ALTO DIET, INC.

Practice address

3195 Beaumont Centre Cir Ste 120
Lexington, KY 40513-2009

Phone

(650) 704-9068

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Clarence Miao, MDNPI 1255340394

Title

Owner

Phone

(650) 704-9068

Specialties & licenses 1

Addresses

Practitioners 1

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

• Clarence Miao, M.D.

  • Anesthesiology Physician
  • Mountain View, CA
  • NPI 1255340394
  NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1700612611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 BYRON ST",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 BEAUMONT CENTRE CIR STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405132009",
            "telephone_number": "650-704-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PALO ALTO DIET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "MIAO",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-704-9068",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Anesthesiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.