Individual provider Active NPI

Steven Lee Hancock, M.D.

  • Radiation Oncology Physician
  • Stanford, CA
National Provider Identifier
1821136631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G036308 Issued in CA
Practice address
875 Blake Wilbur Drive
CC-G-230
Stanford, CA 94305-5847
Phone
(650) 723-6440
Fax
(650) 725-3847
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X G036308 CA Primary

Addresses

Primary practice location

875 Blake Wilbur Drive
CC-G-230
Stanford, CA 94305-5847

Mailing address

875 Blake Wilbur Drive
CC-G-230
Stanford, CA 94305-5847
Phone (650) 723-6440

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
I20080724000415 CA Practitioner - Other (Physician)Practitioner - Internal MedicinePractitioner - Radiation Oncology 8527131531

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G036308CAMDRadiation Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821136631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DRIVE",
            "address_2": "CC-G-230",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055847",
            "telephone_number": "650-723-6440",
            "fax_number": "650-725-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DRIVE",
            "address_2": "CC-G-230",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055847",
            "telephone_number": "650-723-6440",
            "fax_number": "650-725-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G036308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.