LUCILE PACKARD CHILDRENS HOSPITAL (NPI# 1194838946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194838946 |
Entity Type | Organization |
Organization Name | LUCILE PACKARD CHILDRENS HOSPITAL |
Practice Address |
725 Welch Rd Palo Alto CA 94304-1601 |
Mailing Address |
2690 Hanover St Palo Alto CA 94304-1117 |
Practice Telephone | 6504987103 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | SIMONE ESSON (ACTING DIRECTOR) |
Authorized Official Telephone | 6504987103 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0048363 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063834943 | Lucile Packard Childrens Hospital | General Acute Care Hospital | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2014-01-13 |
1023121878 | Lucile Packard Childrens Hospital | Anesthesiology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
1932212784 | Lucile Packard Childrens Hospital | Psychiatry & Neurology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
1003929852 | Lucile Packard Childrens Hospital | Obstetrics & Gynecology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
1821101676 | Lucile Packard Childrens Hospital | Psychiatry & Neurology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
1730292582 | Lucile Packard Childrens Hospital | Radiology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
1649383498 | Lucile Packard Childrens Hospital | Surgery | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
1073564571 | Lucile Packard Childrens Hospital | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-05-12 |
1033169560 | Lucile Packard Childrens Hospital | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-05-12 |
1134170574 | Lucile Packard Childrens Hospital | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-05-12 |
Street Address |
725 WELCH RD |
City | PALO ALTO |
State | CA |
Zip Code | 94304-1601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487658332 | Allen E Eskenazi | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2005-06-09 |
1689275059 | Colin Elie | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-11-03 |
1205434545 | Heather Casale | Dietitian, Registered | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-10-09 |
1427655851 | Rachel Chapman | Clinical Nurse Specialist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-10-08 |
1083220800 | Morgan Kailey Kosar | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-17 |
1164037644 | Matthew Ang Ly | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-11 |
1790398105 | Molly Mcguinness | Genetic Counselor, MS | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-08-25 |
1811509292 | Stephanie Quinn Hutsell | Pharmacist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-08-18 |
1487270120 | Koyelle Papneja | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-18 |
1881219715 | Judith M Flood | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-16 |
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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 | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
1053750240 | Sara Whitehead | Dermatology | 310 Bryant St, Palo Alto, CA 94301-1407 | 2013-06-20 |
1427277169 | Paul S. Kwon | Dermatology | 530 Lytton Ave, 2nd Floor, Palo Alto, CA 94301-1556 | 2007-04-24 |
1922154798 | Richard Joseph Schmidt | Dermatology | 1681 El Camino Real, Palo Alto, CA 94306-1009 | 2007-01-26 |
1629138847 | Patricia Lynn Wong | Dermatology | 153 Forest Ave, Palo Alto, CA 94301 | 2006-12-11 |
1538172051 | Susan M. Swetter | Dermatology | 900 Blake Wilbur Dr # W0069, Palo Alto, CA 94304-2201 | 2006-08-14 |
1780048991 | Roxana Rose Daneshjou | Dermatology | 211 Quarry Rd Fl 3, Palo Alto, CA 94304-1416 | 2016-04-13 |
1972964880 | Katherine Ransohoff | Dermatology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2016-03-19 |
1053776740 | Miguel Canales | Dermatology | 900 Welch Rd Ste 300, Palo Alto, CA 94304-1800 | 2015-12-22 |
1649698614 | Monica E Sandhu | Dermatology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2014-04-07 |
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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.