PALO ALTO NEPHROLOGY ASSOCIATES (NPI# 1043321128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043321128 |
| Entity Type | Organization |
| Organization Name | PALO ALTO NEPHROLOGY ASSOCIATES |
| Practice Address |
750 Welch Rd Suite 214 Palo Alto CA 94304-1507 |
| Practice Telephone | 6503288385 |
| Practice Fax Number | 6503280286 |
| Mailing Telephone | 6503288385 |
| Mailing Fax Number | 6503280286 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TOBY I GOTTHEINES (PRESIDENT) |
| Authorized Official Telephone | 6503288385 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
750 WELCH RD SUITE 214 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558352054 | Debra G. Hanisch | Nurse Practitioner | 750 Welch Rd, #305, Palo Alto, CA 94304-1507 | 2005-11-02 |
| 1497381974 | Kathryn Jayne Rappolt | Dietitian, Registered | 750 Welch Rd, Suite 214, Mail Code: 5891, Palo Alto, CA 94304 | 2020-03-17 |
| 1801357900 | Jennifer Jacobsen | Student in an Organized Health Care Education/Training Program | 750 Welch Rd, Palo Alto, CA 94304-1507 | 2019-03-29 |
| 1346712494 | Lisa Williams | Dietitian, Registered | 750 Welch Rd, Palo Alto, CA 94304-1507 | 2018-12-28 |
| 1285172650 | Catherine Hallet | Dietitian, Registered | 750 Welch Rd, Suite 214, Palo Alto, CA 94304-1507 | 2017-02-06 |
| 1366993867 | Jeffrey Hung-yip Lee | Dentist | 750 Welch Rd, Suite #102, Palo Alto, CA 94304-1507 | 2016-10-19 |
| 1043676778 | Kristine Laguit | Clinical Nurse Specialist | 750 Welch Rd, Suite116, Palo Alto, CA 94304-1507 | 2016-01-11 |
| 1063878296 | Lisa Malia Demeyere | Nurse Practitioner | 750 Welch Rd, Suite 210, Palo Alto, CA 94304-1507 | 2016-01-04 |
| 1518308881 | Shreya Moodley | Pediatrics | 750 Welch Rd, Suite 325, Mc: 5731, Palo Alto, CA 94304-1507 | 2013-07-15 |
| 1891131611 | Rachel Mariko Ruiz | Pediatrics | 750 Welch Rd, Suite 116, Palo Alto, CA 94304-1507 | 2013-05-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588025431 | Michelle Marie O'shaughnessy | Internal Medicine | 777 Welch Road, Suite De, Stanford School of Medicine, Nephrology Division, Palo Alto, CA 94304 | 2016-03-18 |
| 1063663920 | Sumi Sukumaran Nair | Internal Medicine | 1070 Arastradero Rd, 3c11g, Palo Alto, CA 94304 | 2008-10-08 |
| 1104172378 | Wael Hussein | Internal Medicine | 780 Welch Rd, Nephrology Devision, Suite 106, Palo Alto, CA 94304-1516 | 2012-07-25 |
| 1154616373 | Colin Lenihan | Internal Medicine | 780 Welch Rd, Suite 106, Palo Alto, CA 94304-1516 | 2011-06-15 |
| 1679729180 | Ralph Rabkin | Internal Medicine | 3801 Miranda Ave, Iiir, Palo Alto, CA 94304-1207 | 2008-08-15 |
| 1124160155 | Jane Tan | Internal Medicine | 750 Welch Rd, Suite 200, Palo Alto, CA 94304-1507 | 2007-02-13 |
| 1174665020 | John D Scandling Jr. | Internal Medicine | 750 Welch Road, Suite 200, Palo Alto, CA 94304-1509 | 2007-02-13 |
| 1972676872 | Andrew Koren | Internal Medicine | 3801 Miranda Ave, Va Palo Alto Healthcare System, Palo Alto, CA 94304 | 2006-11-16 |
| 1801998661 | Timothy Meyer | Internal Medicine | 3801 Miranda Ave, Nephrology 1111r, Palo Alto, CA 94304-1207 | 2006-09-02 |
| 1366544082 | Yiming Zhao Lit | Internal Medicine | 3801 Miranda Ave, 111r, Palo Alto, CA 94304-1207 | 2006-09-02 |
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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.