CRYSTAL MACKALL (NPI# 1003261660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003261660 |
| Entity Type | Individual |
| Full Name | CRYSTAL MACKALL |
| Credential | M.D. |
| Practice Address |
265 Campus Dr G3141a, Mc5456 Stanford CA 94305-5101 |
| Practice Telephone | 6507252553 |
| Mailing Telephone | 6507252553 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
140084 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
265 CAMPUS DR G3141A, MC5456 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477733202 | James Scott Mcclellan | Internal Medicine | 265 Campus Dr, Room G3005, Stanford, CA 94305-5101 | 2007-11-08 |
| 1144622010 | Maria-grazia Roncarolo | Pediatrics | 265 Campus Dr, Stanford, CA 94305-5101 | 2014-09-22 |
| 1083908289 | John Juheon Lee | Internal Medicine | 265 Campus Dr, Sim1, Rm G3115, Stanford, CA 94305-5463 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346311545 | Daniel Lewis Kraft | Pediatrics | 279 Campus Dr, Beckman Center, B-265, Stanford Univ. Medical Center, Stanford, CA 94305-5101 | 2006-11-11 |
| 1144622010 | Maria-grazia Roncarolo | Pediatrics | 265 Campus Dr, Stanford, CA 94305-5101 | 2014-09-22 |
| 1609062637 | Michael Wei | Pediatrics | 300 Pasteur Dr, Sumc-peds Physician Billing Mc:5530, Stanford, CA 94305-2200 | 2007-09-24 |
| 1053455535 | Rajni Agarwal | Pediatrics | 300 Pasteur Dr, Peds Phys Billing Mc 5530, Stanford, CA 94305-2200 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991143 | George Michaiel | Pediatrics | 4650 Sunset Blvd., Ms #54, Los Angeles, CA 90027 | 2020-01-09 |
| 1487999637 | Loraine Franks | Pediatrics | 157 Emerald Way, Hercules, CA 94547-1756 | 2012-11-29 |
| 1790049104 | Byung Moon Chin | Pediatrics | 3921 Woodcliff Rd, Sherman Oaks, CA 91403-5055 | 2012-06-29 |
| 1700150885 | Akshat Jain | Pediatrics | 1338 E Palm Ave, Redlands, CA 92374-5433 | 2012-03-07 |
| 1548533557 | Batul T Suterwala | Pediatrics | 6045 Whitsett Ave Apt 20, North Hollywood, CA 91606-4529 | 2012-02-22 |
| 1447527833 | Nicholas Joseph Gloude | Pediatrics | 3010 Childrens Way Fl 2, San Diego, CA 92123-4223 | 2011-11-29 |
| 1669765145 | Beth Apsel Winger | Pediatrics | 505 Parnassus Ave # 110, San Francisco, CA 94143-2204 | 2011-05-17 |
| 1841599677 | David Wang | Pediatrics | 505 Parnassus Ave Rm M649, San Francisco, CA 94143-2204 | 2011-03-18 |
| 1326342593 | Re Zaw | Pediatrics | 9300 Valley Children's Place, Residency Dept (ge20), Madera, CA 93636 | 2011-01-03 |
| 1619292752 | Christine Sarah Higham | Pediatrics | Ucsf Benioff Children's Hospital, 1975 4th Street, San Francisco, CA 94158 | 2010-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.