NPIMap

Organization Active NPI

Stanford Blood Center, LLC

Doing business as Stanford Blood Center

  • Clinical Medical Laboratory
  • Palo Alto, CA
National Provider Identifier
1942781083
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF00348233 Issued in CA
Legal business name
STANFORD BLOOD CENTER, LLC
Doing business as
Stanford Blood Center
Practice address
3155 Porter Dr
Ste 2114-2116
Palo Alto, CA 94304-1213
Phone
(650) 724-0100
Fax
(650) 724-0294
NPI assigned
Aug 27, 2018
Organization subpart
Yes
Parent organization
STANFORD HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Authorized official

Name
Sharon Branaman
Title
Manager, Administrative Services
Phone
(650) 723-7886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF00348233 CA Primary

Addresses

Primary practice location

3155 Porter Dr
Ste 2114-2116
Palo Alto, CA 94304-1213

Mailing address

3373 Hillview Ave
Palo Alto, CA 94304-1274
Phone (650) 723-7994

Other identifiers 3

IdentifierTypeStateIssuer
066CA0803OtherTHE AMERICAN SOCIETY FOR HISTOCOMPATIBILITY & IMMUNOGENETICS
CLF00348233OtherCACLINICAL LABORATORY LICENSE
05D2099675OtherCLIA CERTIFICATE

Other names 1

  • Stanford Blood Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2099675Stanford Blood Ctr Histocompatibility3155 Porter Dr Ste 2114-2116, Palo Alto, CA 94304AccreditationAug 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Stanford Blood Center5 organizations share this tax ID, including this one
Part of
Stanford Health SVCS Di

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3155 Porter Dr
Ste 21142116
Palo Alto, CA 94304
Phone (650) 724-0100

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1942781083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3373 HILLVIEW AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041274",
            "telephone_number": "650-723-7994",
            "fax_number": "650-725-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 PORTER DR",
            "address_2": "STE 2114-2116",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041213",
            "telephone_number": "650-724-0100",
            "fax_number": "650-724-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD BLOOD CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANFORD HEALTHCARE",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "BRANAMAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "MANAGER, ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "650-723-7886"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00348233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN SOCIETY FOR HISTOCOMPATIBILITY & IMMUNOGENETICS",
            "identifier": "066CA0803",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LABORATORY LICENSE",
            "identifier": "CLF00348233",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA  CERTIFICATE",
            "identifier": "05D2099675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanford Blood Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stanford Blood Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.