LUCILE PACKARD CHILDREN'S HOSPITAL (NPI# 1184151573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184151573 |
Entity Type | Organization |
Organization Name | LUCILE PACKARD CHILDREN'S HOSPITAL |
Practice Address |
770 Welch Rd Palo Alto CA 94304-1511 |
Practice Telephone | 6507212589 |
Enumeration Date | 2017-05-16 |
Last Update Date | 2017-05-16 |
Authorized Official Name | ESTHER LIU (FNP-BC, NURSE COORDINATOR) |
Authorized Official Telephone | 6507212589 |
Authorized Official Credential | FNP |
Is Organization Subpart | Y |
Parent Organization Name | STANFORD UNIVERSITY MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 282N00000X | General Acute Care Hospital | Hospitals | ||
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043761125 | Lucile Packard Children's Hospital | Clinic/Center | 730 Welch Rd, Neurology Cc71015, Palo Alto, CA 94304-1503 | 2016-10-24 |
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 |
770 WELCH RD |
City | PALO ALTO |
State | CA |
Zip Code | 94304-1511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326009572 | Gordon K. Lee | Surgery | 770 Welch Rd, Suite 400, Mailcode 5715, Palo Alto, CA 94304-1511 | 2006-03-29 |
1558978643 | Mayra Flores | Nurse Practitioner | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2020-09-23 |
1730693037 | Emily Cummings Hardy | Midwife | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-11-22 |
1801316153 | Laurel Kathleen Back Kent | Nurse Practitioner | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-06-27 |
1144753898 | Alexander Li | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Attn: Alexander Li, Plastic Surgery, Palo Alto, CA 94304-1511 | 2017-04-10 |
1477907665 | Janos Barrera | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2016-04-14 |
1750735999 | Anna Zhou | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Suite 400, Palo Alto, CA 94304-1511 | 2016-04-13 |
1174907083 | Zeshaan Maan | Surgery | 770 Welch Rd, 4th Floor, Plastic Surgery Office, Palo Alto, CA 94304-1511 | 2015-07-10 |
1437546561 | Travis Joseph Miller | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Suite 400, Palo Alto, CA 94304-1511 | 2015-04-15 |
1730572892 | Colleen Moreno | Nurse Practitioner | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2015-03-13 |
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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 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1720288822 | Mayview Community Clinic | Clinic/Center | 270 Grant Ave, Palo Alto, CA 94306-1911 | 2007-07-18 |
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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.