BRENT ROBERT BLUETT (NPI# 1669772331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669772331 |
| Entity Type | Individual |
| Full Name | BRENT ROBERT BLUETT |
| Credential | DO |
| Practice Address |
213 Quarry Rd Rm 2851 Palo Alto CA 94304-1416 |
| Practice Telephone | 6507236469 |
| Mailing Telephone | 6507236469 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20A13423 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
13423 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 888 W Bonneville Ave, Las Vegas, NV 891060100 | 7024836000 |
| Street Address |
213 QUARRY RD RM 2851 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407059181 | Juan Carlos Fernandez-miranda | Neurological Surgery | 213 Quarry Rd Rm 2851, Palo Alto, CA 94304-1416 | 2007-06-08 |
| 1033524384 | Jessica Jean Aikin | Physician Assistant | 213 Quarry Rd Rm 2851, Palo Alto, CA 94304-1416 | 2014-06-25 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1598318602 | Lik Hang Tommy Chan | Psychiatry & Neurology | 211 Quarry Rd Ste 206, Palo Alto, CA 94304-1416 | 2019-07-17 |
| 1548624661 | Lucas Kipp | Psychiatry & Neurology | 213 Quarry Road, Stanford Neuroscience Health Center, Mc5957, Palo Alto, CA 94304 | 2016-04-06 |
| 1952784308 | Lakshmi Leishangthem | Psychiatry & Neurology | Byers Eye Institute Stanford Health Care 2452 Watson Ct, 2452 Watson Court, Palo Alto, CA 94303 | 2015-07-02 |
| 1518281161 | Jessica June Walter | Psychiatry & Neurology | 213 Quarry Rd Fl 4, Stanford Neuroscience Health Center, Palo Alto, CA 94304-1416 | 2010-03-24 |
| 1235346008 | Robert Jay Whaley | Psychiatry & Neurology | 24 Crescent Dr, Palo Alto, CA 94301-3105 | 2007-05-17 |
| 1114053808 | Kathleen Poston | Psychiatry & Neurology | 213 Quarry Rd, Mc 5956, Palo Alto, CA 94304-1416 | 2007-02-26 |
| 1801980545 | Kendra Peterson | Psychiatry & Neurology | Neurology Dept. Mc 127, 3586 Miranda Ave., Palo Alto, CA 94304 | 2006-10-03 |
| 1932215761 | Leland E. Lim | Psychiatry & Neurology | 3801 Miranda Ave, Mc 127, Palo Alto, CA 94304-1207 | 2006-08-22 |
| 1528095296 | Kimford J Meador | Psychiatry & Neurology | 1804 Embarcadero Rd, Palo Alto, CA 94303-3341 | 2006-06-27 |
| 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.