Active NPI
Fred Hagen Laningham III, MD
- Pediatric Radiology Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- G75723
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | 29598 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | 29598 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | G75723 | CA | |
| Pediatric Radiology Physician | 2085P0229X | G75723 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other practice location 1
262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone (901) 595-3300
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G75723 | Medicaid | CA | |
| 1110990 | Medicaid | LA | |
| 200354520A | Medicaid | IN | |
| 7613057 | Medicaid | NC | |
| 100249677-00 | Medicaid | NE | |
| 200347310A | Medicaid | KS | |
| 0030911 | Medicaid | NJ | |
| 104677750 | Medicaid | MI | |
| 143636001 | Medicaid | AR | |
| 64044696 | Medicaid | KY | |
| 0089692 | Medicaid | MT | |
| 009975820 | Medicaid | AL | |
| 218597956A | Medicaid | GA | |
| 422400000 | Medicaid | ME | |
| 00124209 | Medicaid | MS | |
| 205329717 | Medicaid | MO | |
| 3863255 | Medicaid | TN | |
| 0547182 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Arkansas College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9300 Valley Childrens PL
Madera, CA 93636-8761
Phone (559) 353-5917
Hospital & facility affiliations
- Valley Children'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G75723 | CA | MD | Diagnostic Radiology Physician |
| 29598 | TN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Current | Accepting new patients | |
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| LPCH Medical Group Div of Lucile | Current | Accepting new patients | |
| Pronet Imaging Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| San Fernando Valley Interventional Radiology and Imaging Center | Current | Accepting new patients | |
| Stanford Health Care | Diagnostic Radiology | Current | Accepting new patients |
| Wishon Radiological Medical Group, Inc. | Pediatric Radiology | Current | Accepting new patients |
| St Jude Children'S Research Hospital, Inc. | Current | Accepting new patients | |
| Stanford Health Care | Diagnostic Radiology | Current | Accepting new patients |
| Norcal Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| St Jude Childrens Research Hospital Inc | Past | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients |
Locations
2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777
6121 Hollis St
Ste 1
Emeryville, CA 94608
Phone (510) 601-7979
16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707
2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234
7202 N Millbrook Ave
Fresno, CA 93720
Phone (559) 450-2662
7202 N Millbrook Ave
Ste 206
Fresno, CA 93720
Phone (559) 450-2300
6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433
1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
114 La Casa Via
Ste 100
Walnut Creek, CA 94598
Phone (925) 937-6100
262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343
262 Danny Thomas Pl
#515
Memphis, TN 38105
Phone (901) 495-3006
Interoperability endpoints
- flaningham21449@stjude.direct-ci.com
Organizations & group practices 13
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.
-
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1528012168
Pediatric Radiology
-
- Diagnostic Radiology Physician
- Concord, CA
- NPI 1003965997
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1528099488
-
- Vascular-Interventional Technology Radiologic Technologist
- Encino, CA
- NPI 1942350889
-
- Pediatrics Physician
- Memphis, TN
- NPI 1306335088
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Diagnostic Radiology Physician
- Walnut Creek, CA
- NPI 1376667022
-
- Radiation Oncology Physician
- Pleasanton, CA
- NPI 1124561758
Diagnostic Radiology
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Madera, CA
- NPI 1275694184
-
- Children's Hospital
- Madera, CA
- NPI 1952312043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1962405753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "262 Danny Thomas Pl",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381053678",
"country_code": "US",
"telephone_number": "901-595-3300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANINGHAM",
"first_name": "FRED",
"middle_name": "HAGEN",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "TN",
"license": "29598",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "29598",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G75723",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "CA",
"license": "G75723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G75723",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1110990",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200354520A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7613057",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100249677-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200347310A",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0030911",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104677750",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143636001",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64044696",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0089692",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009975820",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218597956A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422400000",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00124209",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205329717",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3863255",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0547182",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
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 Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.