Stanford University Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

G85803 Issued in CA

Legal business name

STANFORD UNIVERSITY MEDICAL CENTER

Practice address

300 Pasteur Dr
Room H3691
Stanford, CA 94305-2200

Phone

(650) 736-1250

Fax

(650) 724-9806

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ralph S Greco, M.D.

Title

Director -G.S. Residency Program

Phone

(650) 736-1250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720122856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "ROOM H3691",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-736-1250",
            "fax_number": "650-724-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "ROOM H3691",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-736-1250",
            "fax_number": "650-724-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD UNIVERSITY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR -G.S. RESIDENCY PROGRAM",
        "authorized_official_telephone_number": "650-736-1250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "G85803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G858030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stanford University
• Stanford University
• Stanford University Hospitals
• Stanford University Medical Center
• Stanford University Medical Center
• Stanford University Medical Center
• Stanford University Student Health Center Pharmacy
• Makela Cordero Stankey, MD
• Konstantina M Stankovic, MD
• Ailene Marie Staples, DNP

• General Acute Care Hospital in Stanford, CA
• Providers in Stanford, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.