LUCILE PACKARD CHILDREN'S HOSPITAL (NPI# 1285832634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285832634 |
| Entity Type | Organization |
| Organization Name | LUCILE PACKARD CHILDREN'S HOSPITAL |
| Practice Address |
725 Welch Rd Palo Alto CA 94304-1601 |
| Mailing Address |
193 Ayer Ln Milpitas CA 95035-4646 |
| Practice Telephone | 6504978890 |
| Mailing Telephone | 4089463640 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS MARIA ROSALIE ERESMAS SIMON (PEDIATRIC NURSE PRACTITIONER) |
| Authorized Official Telephone | 6504978890 |
| Authorized Official Credential | RN, CNS, PNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
15119 | CA | Hospitals |
| 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 |
| 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 |
| 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 |
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 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750546602 | Stanford Hospital and Clinic | General Acute Care Hospital | 732 Homer Avenue, Palo Alto, CA 94301-2907 | 2008-07-21 |
| 1841741675 | Lucile Packard Children's Hospital | General Acute Care Hospital | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2016-10-17 |
| 1063834943 | Lucile Packard Childrens Hospital | General Acute Care Hospital | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2014-01-13 |
| 1942635701 | Shayna Newell | General Acute Care Hospital | 725 Welch Rd, 3rd Fl. Suite 350, Palo Alto, CA 94304-1601 | 2013-09-11 |
| 1962834937 | Stanford Hospital and Clinics | General Acute Care Hospital | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2013-08-01 |
| 1770855447 | Lucile Packard Children's Hospital At Stanford | General Acute Care Hospital | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2012-01-27 |
| 1942342084 | Lucille Packard Children's Hospital 030962 | General Acute Care Hospital | 780 Welch Rd, 206, Palo Alto, CA 94304-1516 | 2007-02-13 |
| 1467442749 | Lucile Salter Packard Children's Hospital At Stanford | General Acute Care Hospital | 725 Welch Rd, Mail Code 5500, Palo Alto, CA 94304-1601 | 2005-10-26 |
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| 1699223628 | Ucsf Children's Hospital | General Acute Care Hospital | 568 Louis Dr, Novato, CA 94945-3337 | 2016-09-19 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1255717377 | Ucsd Department of Pediatrics | General Acute Care Hospital | 7910 Forst St, Suite 100, San Diego, CA 92123 | 2015-07-31 |
| 1285012690 | Ucsf Pediatric Rheumatology Department | General Acute Care Hospital | 755 Ohlone Ave Apt 788, Albany, CA 94706-1967 | 2015-05-18 |
| 1942691506 | Sudhir Patel Md,. Inc. | General Acute Care Hospital | 12004 Hurst Park Dr, Bakersfield, CA 93311-8572 | 2015-02-17 |
| 1528468287 | Rite Aid | General Acute Care Hospital | 294 W Palo Alto Ave, Clovis, CA 93612-0285 | 2014-09-01 |
| 1942618046 | Christine Van Woudenberg | General Acute Care Hospital | 4602 W Wren Ave, Visalia, CA 93291-9381 | 2014-08-01 |
| 1366866345 | Loma Linda University Children's Hospital | General Acute Care Hospital | 11234 Anderson St Rm 1150, Loma Linda, CA 92354-2804 | 2014-02-11 |
| 1629490057 | Anita Marzonie | General Acute Care Hospital | 4650 W Sunset Blvd # Ms 36, Los Angeles, CA 90027-6062 | 2014-01-21 |
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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.