Active NPI
Kathryn Imbordino, APRN
- Certified Registered Nurse Anesthetist
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95001513
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11000886 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | 95001513 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
3601 W Commercial Blvd Ste 5
Fort Lauderdale, FL 33309-3392
Phone (954) 485-5666
Other practice location 1
201 E Sample Rd
Pompano Beach, FL 33064-3502
Phone (708) 359-5607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102065100 | Medicaid | FL |
Other names 1
- Kathryn Beyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2452 Watson CT
Palo Alto, CA 94303-3216
Phone (650) 723-6995
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Hospital & facility affiliations
- Stanford Health Care
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.53 of 100
- Quality
- 87.08
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Anesthesiology | Current | Accepting new patients |
Locations
7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Organizations & group practices 4
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.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Anesthesiology Physician
- Los Gatos, CA
- NPI 1487214698
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1942773296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 W COMMERCIAL BLVD STE 5",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093392",
"telephone_number": "954-485-5666",
"fax_number": "954-484-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "201 E Sample Rd",
"address_purpose": "LOCATION",
"city": "Pompano Beach",
"state": "FL",
"postal_code": "330643502",
"country_code": "US",
"telephone_number": "708-359-5607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMBORDINO",
"first_name": "KATHRYN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11000886",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95001513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102065100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "BEYER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.