NPIMap

Individual provider Active NPI

Stephanie Go, M.D.

  • Diagnostic Radiology Physician
  • Menlo Park, CA
National Provider Identifier
1881960078
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A126992 Issued in CA
Practice address
795 Willow Rd
Menlo Park, CA 94025-2539
Phone
(503) 413-4692
NPI assigned
Apr 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A126992 CA Primary

Addresses

Primary practice location

795 Willow Rd
Menlo Park, CA 94025-2539

Mailing address

3801 Miranda Ave
Palo Alto, CA 94304-1207
Phone (503) 413-4692

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180517001428 OR Practitioner - Diagnostic Radiology 1658640198 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Oregon Health Sciences University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tualatin Imaging PCGroup PAC ID 8123011392, 18 clinicians
Willamette Radiology Billing Services LLCGroup PAC ID 9335681972, 15 clinicians
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians
Grande Ronde Hospital IncGroup PAC ID 0547170789, 97 clinicians

Practice addresses (Care Compare)

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-7447

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 435-6322

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421

Hospital & facility affiliations

  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071
  • Good Shepherd Medical Center Hospital, Hermiston, OR, CCN 381325
  • Grande Ronde Hospital Hospital, La Grande, OR, CCN 381321
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.82 of 100Reported as group
Quality
64.68
Promoting interoperability
100
Improvement activities
40
Cost
47.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126992CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services Inc CurrentSince Jun 15, 2024 Accepting new patients
Willamette Radiology Billing Services LLC Diagnostic Radiology CurrentSince Mar 26, 2024 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Aug 14, 2023 Accepting new patients
Good Shepherd Health Care System CurrentSince Jul 1, 2018 Accepting new patients
Tualatin Imaging P C Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Grande Ronde Hospital, Inc. CurrentSince Aug 14, 2023 Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

900 Sunset Dr
La Grande, OR 97850
Phone (541) 963-8421

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

7427 SW Coho Ct
Ste 200
Tualatin, OR 97062
Phone (503) 692-5737

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881960078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "503-413-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "503-413-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A126992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.