C. Garrison Fathman, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

C33057 Issued in CA

Practice address

300 Pasteur Dr
CCSR 2225
Stanford, CA 94305-2200

Phone

(650) 851-5866

NPI assigned

Feb 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927
  NPD (past)

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1770619926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 GROVE DR",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287638",
            "telephone_number": "650-851-5866",
            "fax_number": "650-725-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "CCSR 2225",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-851-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHMAN",
        "first_name": "C. GARRISON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "C33057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C330570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hassan Najah Farhan, MD
• Susan Doan Farrales-Nguyen, N.P.
• Behrouz Darabi Farsi, PA-C
• Grace Ruth Fassina
• Pedram Fatehi, MD, MPH
• Oluseyi Abiodun Fayanju, MD
• Abid Amirali Fazal, MD
• Muhammad Fazal, MD
• William Fuller Fearon, M.D.
• William W Feaster, M.D.

• Allergy & Immunology Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.