KENNETH KENJI SAKAMOTO (NPI# 1275575698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275575698 |
| Entity Type | Individual |
| Full Name | KENNETH KENJI SAKAMOTO |
| Credential | M.D. |
| Practice Address |
900 Blake Wilbur Dr Stanford Executive Medicine, 2nd Floor Palo Alto CA 94304-2201 |
| Practice Telephone | 6507216700 |
| Practice Fax Number | 6504987873 |
| Mailing Telephone | 6507216700 |
| Mailing Fax Number | 6504987873 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G51064 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G0510640 | 05 |
| Street Address |
900 BLAKE WILBUR DR STANFORD EXECUTIVE MEDICINE, 2ND FLOOR |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227182 | Neha S Shah | Internal Medicine | 900 Blake Wilbur Dr, W2081, Palo Alto, CA 94304-2201 | 2005-07-06 |
| 1114576774 | Miles Garth Kotchevar | Nurse Practitioner | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2019-09-06 |
| 1417427469 | Elizabeth Avelar Freitas | Nurse Practitioner | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2018-12-03 |
| 1649751694 | Ashlie Miller | Genetic Counselor, MS | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2018-08-28 |
| 1649758905 | Madeline Graf | Genetic Counselor, MS | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2018-07-30 |
| 1235656182 | Julia Anne Bancroft | Nurse Practitioner | 900 Blake Wilbur Dr, Palo Alto, CA 94304 | 2017-08-23 |
| 1881135002 | Jeffrey Richard Edwards | Speech-Language Pathologist | 900 Blake Wilbur Dr, 3rd Floor, Palo Alto, CA 94304-2201 | 2017-03-20 |
| 1598217267 | Hyeunsook Chon | Nurse Practitioner | 900 Blake Wilbur Dr, Palo Alto, CA 94304-2201 | 2016-10-28 |
| 1629522784 | Valentina Alexandrea Chadwick | Nurse Practitioner | 900 Blake Wilbur Dr, 3rd Floor, Palo Alto, CA 94304-2201 | 2016-08-06 |
| 1780055582 | Jaime Renee Rees | Nurse Practitioner | 900 Blake Wilbur Dr, 3rd Floor, Palo Alto, CA 94304-2201 | 2015-10-19 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1518370204 | Douglas Murphy-chutorian | Internal Medicine | 335 Churchill Ave, Palo Alto, CA 94301-3602 | 2014-06-10 |
| 1780914325 | Richard L Popp | Internal Medicine | 876 Miranda Green St, Palo Alto, CA 94306-3716 | 2010-01-04 |
| 1407087976 | Marie-claude Parent | Internal Medicine | 155 Charles Marx Way, Palo Alto, CA 94304-2449 | 2009-08-01 |
| 1265676415 | Louis G Lange | Internal Medicine | 420 Lowell Ave, Palo Alto, CA 94301-3813 | 2009-04-30 |
| 1770608085 | J G Sotos | Internal Medicine | 1788 Oak Creek Dr Apt 415, Palo Alto, CA 94304-2132 | 2007-03-20 |
| 1689604241 | Shaun Cho | Internal Medicine | 87 Encina Ave, Palo Alto, CA 94301-2322 | 2006-07-03 |
| 1699032763 | Kaartiga Sivanesan | Internal Medicine | 87 Encina Ave, Palo Alto, CA 94301-2322 | 2012-04-13 |
| 1649589136 | Kim Mae Karin Chia | Internal Medicine | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2010-09-30 |
| 1831385202 | Francis H Koch | Internal Medicine | 211 Quarry Rd, Ste 203 Mc5993, Palo Alto, CA 94304-1416 | 2007-09-19 |
| 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.