LUCILE PACKARD CHILDREN'S HOSPITAL (NPI# 1043761125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043761125 |
| Entity Type | Organization |
| Organization Name | LUCILE PACKARD CHILDREN'S HOSPITAL |
| Practice Address |
730 Welch Rd Neurology Cc71015 Palo Alto CA 94304-1503 |
| Practice Telephone | 6507230993 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | PAUL FISHER (CHIEF, DIVISION OF CHILD NEUROLOGY) |
| Authorized Official Telephone | 6507360885 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QG0250X |
Clinic/Center Specialization: Genetics |
GC000802 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184151573 | Lucile Packard Children's Hospital | General Acute Care Hospital | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-05-16 |
| 1841741675 | Lucile Packard Children's Hospital | General Acute Care Hospital | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2016-10-17 |
| 1316218605 | Lucile Packard Children's Hospital | General Acute Care Hospital | 321 Middlefield Rd, Suite 130, Menlo Park, CA 94025-3500 | 2012-01-19 |
| 1285832634 | Lucile Packard Children's Hospital | General Acute Care Hospital | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2007-07-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LUCILE PACKARD CHILDREN'S HOSPITAL | 4700 Bohannon Dr, Menlo Park, CA 94025 |
| Street Address |
730 WELCH RD NEUROLOGY CC71015 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821044314 | Anne Yee Liu | Allergy & Immunology | 730 Welch Rd, 1st Floor, Immunology/allergy Clinic, Palo Alto, CA 94304-1503 | 2006-05-26 |
| 1013569342 | Logan Grace Faust | Audiologist | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2019-07-16 |
| 1164909305 | Ashley Lynnae Mello | Pharmacist | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2018-07-20 |
| 1801380860 | Brooke Nightingale | Genetic Counselor, MS | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2018-06-21 |
| 1598265878 | Kaitlyn Makanaakua Basnett | Registered Nurse | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2018-02-13 |
| 1619490547 | Amanda Gerling | Technician/Technologist | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2017-07-23 |
| 1508398132 | Katherine Alvarez | Physician Assistant | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2017-04-02 |
| 1154852119 | Laura Quater Diaz | Nurse Practitioner | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2017-03-22 |
| 1659812691 | Lauren Michelle Carter | Nurse Practitioner | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2017-03-09 |
| 1467997668 | Elise Brimble | Genetic Counselor, MS | 730 Welch Rd, 2nd Floor Neurology Cc71015, Palo Alto, CA 94304-1503 | 2016-12-23 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 261QG0250X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Genetics |
| An entity, facility, or distinct part of a facility providing analysis of family history, genetic laboratory testing and analysis, diagnosis of genetic trait, prognosis and options. Laboratory studies may be outsourced. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821499963 | Lucile Packard Children's Hospital Stanford | Clinic/Center | 725 Welch Rd # Mc5652, Palo Alto, CA 94304-1601 | 2014-09-09 |
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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.