LUCILE PACKARD STANFORD CHILDREN'S HOSPITAL (NPI# 1164898961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164898961 |
| Entity Type | Organization |
| Organization Name | LUCILE PACKARD STANFORD CHILDREN'S HOSPITAL |
| Practice Address |
300 Pasteur Dr Palo Alto CA 94304-2203 |
| Mailing Address |
10671 Larry Way Cupertino CA 95014-2056 |
| Practice Telephone | 6507235299 |
| Mailing Telephone | 4087186101 |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |
| Authorized Official Name | ANNA VIET (RN) |
| Authorized Official Telephone | 4087186101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 800863 | CA | Hospitals |
| Street Address |
300 PASTEUR DR |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253415 | Alexandra Cummings | Physician Assistant | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-10-21 |
| 1881291052 | Daniel Choban | Respiratory Therapist, Certified | 300 Pasteur Dr, Palo Alto, CA 94305-2295 | 2020-10-01 |
| 1609483403 | Julia Reed | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-25 |
| 1801402623 | Lakshitha Sivanandan | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-17 |
| 1386259703 | Blair Bigham | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-11 |
| 1043823750 | Kianoosh Keyhanian | Pathology | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-24 |
| 1437761186 | Grace Kioko | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-22 |
| 1285256743 | James Ryan Houston | Technician, Other | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-05-07 |
| 1306466768 | Lily Hyunkyung Kim | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-04-25 |
| 1033738604 | Taylor Renee Johnson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-04-13 |
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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 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962800607 | Stanford Hopsital | General Acute Care Hospital | 300 Pasteur Dr,stanford Health Care Ed Obs Unit, Hc133 Mc5239, Palo Alto, CA 94305 | 2014-12-11 |
| 1629322375 | Stanford University | General Acute Care Hospital | 129 Mosher Way, Palo Alto, CA 94304-2417 | 2012-11-02 |
| 1437255205 | Sauveur Vincent Mazzara | General Acute Care Hospital | 185 Island Dr, Palo Alto, CA 94301-3127 | 2006-09-16 |
| 1184151573 | Lucile Packard Children's Hospital | General Acute Care Hospital | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-05-16 |
| 1215313457 | Scarlette Aliga-cabamungan | General Acute Care Hospital | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2015-08-10 |
| 1598141566 | Stanford Healthcare | General Acute Care Hospital | 777 Welch Rd, Suite De, Palo Alto, CA 94304-1613 | 2015-07-31 |
| 1073998647 | Stanford Children's Hospital | General Acute Care Hospital | 725 Welch Rd, Mc 5652, Palo Alto, CA 94304-1601 | 2015-07-24 |
| 1588045918 | U.S. Department of Veteran Affairs | General Acute Care Hospital | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2015-06-11 |
| 1285990135 | Lucille Packard Children's Hospital | General Acute Care Hospital | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2012-04-04 |
| 1497046130 | Stanford Hospital & Clinics | General Acute Care Hospital | 1510 Page Mill Rd, M137, Palo Alto, CA 94304-1125 | 2011-04-28 |
| Find all providers in PALO ALTO | ||||
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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.