Aida Habtezion, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A83654 Issued in CA

Practice address

300 Pasteur Dr
Alway BLDG, Room M-211
Stanford, CA 94305-5187

Phone

(650) 725-6511

Fax

(650) 723-5488

NPI assigned

Dec 16, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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)
• Stanford Hospital and Clinics

  • Clinical Medical Laboratory
  • Palo Alto, CA
  • NPI 1174698468
  NPD (past)

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292457600000",
    "number": "1902109796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "ALWAY BLDG, ROOM M-211",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055187",
            "telephone_number": "650-725-6511",
            "fax_number": "650-723-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "ALWAY BLDG, ROOM M-211",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943055187",
            "telephone_number": "650-725-6511",
            "fax_number": "650-723-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABTEZION",
        "first_name": "AIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A83654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Amanda Guzman, PHARMD
• Connie Lynn Ha, DO
• Junghoon Ha, MD, PHD
• Richard-Tien Van Ha, M.D.
• Michael F Haberecht, M.D.
• Lotfi Hacein-Bey, MD
• Francois Haddad, MD
• Terri L Haddix, M.D.
• Lindsey Merrihew Haddock, MD
• Christiane Lynn Haeffele, MD

• Gastroenterology Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.