STANFORD HEALTH CARE (NPI# 1467990465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467990465 |
| Entity Type | Organization |
| Organization Name | STANFORD HEALTH CARE |
| Other Organization Name | STANFORD HEALTH CARE PLEASANTON 5565 |
| Practice Address |
5565 W Las Positas Blvd Suite 320 Pleasanton CA 94588-4001 |
| Mailing Address |
1804 Embarcadero Rd Suite 100 Palo Alto CA 94303-3341 |
| Practice Telephone | 9257348130 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | DAVID CONNOR (CFO) |
| Authorized Official Telephone | 6507251074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 070000662 | CA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 070000662 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 070000662 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 070000662 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 070000662 | CA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
070000662 | CA | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 070000662 | CA | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 070000662 | CA | Allopathic & Osteopathic Physicians |
| Y | 282N00000X | General Acute Care Hospital | 070000662 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Stanford Health Care Pleasanton 5565 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053835595 | Stanford Health Care | Pharmacy | 875 Blake Wilbur Dr Ste Cc1102, Palo Alto, CA 94304-2205 | 2017-07-26 |
| 1053844647 | Stanford Health Care | Dermatology | 1133 E Stanley Blvd, Suite 111, Livermore, CA 94550-4200 | 2017-04-10 |
| 1124561758 | Stanford Health Care | Radiology | 5725 W Las Positas Blvd, Suite 100b, Pleasanton, CA 94588-4054 | 2016-11-30 |
| 1275076325 | Stanford Health Care | Anesthesiology | 5800 Hollis St, Emeryville, CA 94608-2016 | 2016-11-22 |
| 1285177337 | Stanford Health Care | General Acute Care Hospital | 6121 Hollis St, Emeryville, CA 94608-2077 | 2016-11-22 |
| 1437292927 | Stanford Health Care | Anesthesiology | 300 Pasteur Drive, Stanford, CA 94305 | 2007-02-14 |
| 1265581086 | Stanford Health Care | Psychiatric Hospital | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-01-10 |
| 1871543215 | Stanford Health Care | General Acute Care Hospital | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2006-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STANFORD HEALTH CARE - VALLEYCARE | 1111 E Stanley Blvd, Livermore, CA 94550-4115 |
| Street Address |
5565 W LAS POSITAS BLVD SUITE 320 |
| City | PLEASANTON |
| State | CA |
| Zip Code | 94588-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266588 | Niall E. Roche | Specialist | 5565 W Las Positas Blvd, Ste 310, Pleasanton, CA 94588-5808 | 2005-06-23 |
| 1699271064 | Kristin Anne Perkins | Registered Nurse | 5565 W Las Positas Blvd, Pleasanton, CA 94588-4001 | 2018-04-03 |
| 1316305659 | Henry A. Chen, M.d. | Internal Medicine | 5565 W Las Positas Blvd, Suite 210, Pleasanton, CA 94588-5806 | 2016-02-01 |
| 1013327170 | John Muir Physician Network | Internal Medicine | 5565 W Las Positas Blvd, #320, Pleasanton, CA 94588-4001 | 2014-04-29 |
| 1295051266 | Lindsay Gammenthaler | Pediatrics | 5565 W Las Positas Blvd, Suite 240, Pleasanton, CA 94588-4001 | 2010-04-15 |
| 1356598825 | Valleycare Medical Foundation Inc | Family Medicine | 5565 W Las Positas Blvd, 220, Pleasanton, CA 94588-4001 | 2008-08-26 |
| 1760651376 | David S. Stone Md Inc. A Professional Corporation | Otolaryngology | 5565 W Las Positas Blvd, Suite 350, Pleasanton, CA 94588-5809 | 2008-02-27 |
| 1124232350 | Ricardo E. Aguirre, M.d., Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5565 W Las Positas Blvd, Suite 340, Pleasanton, CA 94588-4001 | 2007-05-09 |
| 1801910138 | Jyothi Ratti | Internal Medicine | 5565 W Las Positas Blvd, Suite 260, Pleasanton, CA 94588-4001 | 2007-03-19 |
| 1417016445 | Tri Valley Cardiology Medical Office | Internal Medicine | 5565 W Las Positas Blvd, #300, Pleasanton, CA 94588 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1619519691 | Vanessa Baldwin | Behavior Technician | 5828 Stoneridge Mall Road, Suit 205, Pleasanton, CA 94588 | 2019-10-11 |
| 1184187783 | Amanda Singh | Behavior Technician | 1811 Stoneridge Mall Rd Suite 205, Pleasanton, CA 94588 | 2019-04-10 |
| 1891262192 | Virginia Zamora | Behavior Technician | 5820 Stoneridgemall Rd, Suite 205, Pleasanton, CA 94588 | 2018-10-25 |
| 1891275368 | Ixchel N Baltazar | Behavioral Analyst | 520 Stoneridge Mall Rd, Ste. 205, Pleasanton, CA 94588 | 2018-08-15 |
| 1386149409 | Monique Imanii Brown | Behavioral Analyst | 511 Johnson Drive, Pleasanton, CA 94588 | 2018-03-29 |
| 1922509710 | Cierra Marie Barton | Behavioral Analyst | 5820 Stoneridge Mall Road, Suite 205, Pleasanton, CA 94588 | 2018-02-27 |
| 1851800056 | Delisa Simon | Nurse Practitioner | 4439 Stoneridge Dr Ste 110, Pleasanton, CA 94588 | 2017-09-20 |
| 1831611409 | One Health Hospice, Inc. | Hospice Care, Community Based | 7059 Commerce Cir, Suite G, Pleasanton, CA 94588 | 2017-07-14 |
| 1114478641 | Carlos Gavino | Behavior Technician | 5820 Stoneridge Mall Dr, Suite 205, Pleasanton, CA 94588 | 2016-10-19 |
| Find all providers in zip 94588 | ||||
| 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 |
|---|---|---|---|---|
| 1144681768 | Milton H. Louie, Md | General Acute Care Hospital | 1041 Bradford Ct, Pleasanton, CA 94566-4507 | 2016-03-09 |
| 1215239223 | Loran Hollander | General Acute Care Hospital | 1621 Hopyard Rd, Pleasanton, CA 94566-5957 | 2010-11-23 |
| 1144389941 | The Hospital Committee for The Livermore-pleasanton Areas | General Acute Care Hospital | 5555 W Las Positas Blvd, Pleasanton, CA 94588-4000 | 2006-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTON |
| Zip Code | 94588 |
Please comment or provide details below to improve the information on STANFORD HEALTH CARE.
| 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.