DR. CECILE TEODORO FAJARDO (NPI# 1114286408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114286408 |
| Entity Type | Individual |
| Full Name | DR. CECILE TEODORO FAJARDO |
| Credential | D.O. |
| Practice Address |
300 Pasteur Dr Stanford CA 94305 |
| Mailing Address |
300 Pasteur Dr Stanford CA 94305-2200 |
| Practice Telephone | 6504978000 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
20A13143 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11234 Anderson St, Graduate Medical Education Office Csp 21005, Loma Linda, CA 923542804 | 9095584174 |
| Street Address |
300 PASTEUR DR |
| City | STANFORD |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729152 | Atulkumar Thakorlal Shah | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2005-06-08 |
| 1952913634 | Honey R Beddingfield | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-08-23 |
| 1790394369 | Olivier Veilleux | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-07-29 |
| 1588272827 | Maia Borensztein | Genetic Counselor, MS | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-07-22 |
| 1205444833 | Kristen Seeley | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-07-20 |
| 1568088540 | Zenebu Sinor Tegegne | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-06-24 |
| 1366068827 | Theresa Ina Brondstetter | Nurse Practitioner | 300 Pasteur Dr, Rm H0101, Mc 5623, Stanford, CA 94305-5623 | 2020-06-21 |
| 1760003024 | Lovemore Makusha | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-04-28 |
| 1467073676 | Keena R Patel | Nurse Practitioner | 300 Pasteur Dr, Stanford, CA 94305-2299 | 2020-04-28 |
| 1033730361 | Lap K Huynh | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2020-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
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| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487874954 | Elizabeth Michelle Talley | Pediatrics | 300 Pasteur Dr Rm G306, Stanford, CA 94305-2200 | 2007-04-26 |
| 1841214376 | Cynthia Wong | Pediatrics | 300 Pasteur Drive, G306, Stanford, CA 94305-5208 | 2006-07-27 |
| 1134547102 | Orly Haskin | Pediatrics | 300 Pasteur Dr, Room G306, Stanford, CA 94305-2200 | 2014-04-06 |
| 1396058343 | Varinder Kaur Bal | Pediatrics | 300 Pasteur Dr, Department of Pediatric Nephrology, Stanford, CA 94305-2200 | 2010-07-20 |
| 1427380542 | Rouba Garro | Pediatrics | 300 Pasteur Dr, Room G306, Stanford, CA 94305-2200 | 2010-02-01 |
| 1760665350 | Abanti Chaudhuri | Pediatrics | 300 Pasteur Dr, G306, Stanford, CA 94305-2200 | 2007-12-06 |
| 1801097423 | Lauren Amy Weintraub | Pediatrics | 300 Pasteur Dr, G306, Stanford, CA 94305-2200 | 2007-05-30 |
| 1184705386 | Paul Charles Grimm | Pediatrics | 300 Pasteur Dr, G306, Mc5208, Stanford, CA 94305-2200 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653080 | Nihar Bhakta | Pediatrics | 3430 Sitio Sandia, Carlsbad, CA 92009-8483 | 2019-01-18 |
| 1821304403 | Pediatric Kidney Center Inc | Pediatrics | 5309 Aurora Way, Bakersfield, CA 93306-7808 | 2010-08-20 |
| 1659504959 | Nianzhou Xiao | Pediatrics | 9300 Valley Childrens Pl Dept Of, Madera, CA 93636-8761 | 2009-09-02 |
| 1104066877 | Lyndon & Belinda Senar Mds Inc | Pediatrics | 9840 Brimhall Rd, Bakersfield, CA 93312-2791 | 2009-02-20 |
| 1306052667 | James En-cheh Tong | Pediatrics | 533 Parnassus Ave # U-585, San Francisco, CA 94143-2208 | 2007-05-15 |
| 1831266048 | Paul Scott Kurtin | Pediatrics | 1157 Solana Dr, Del Mar, CA 92014-3907 | 2006-11-30 |
| 1780773721 | Hma Mahdavi | Pediatrics | 1760 Termino Ave Ste 214, Long Beach, CA 90804-2169 | 2006-10-11 |
| 1801982301 | Gary Robert Lerner | Pediatrics | 4650sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-04 |
| 1285667659 | Pediatric Renal Medical Corporation | Pediatrics | 9 Candela, Irvine, CA 92620-1823 | 2006-07-09 |
| 1760425383 | Orawan Sitburana | Pediatrics | 11109 Mcgirk Ave, El Monte, CA 91731-1623 | 2006-06-13 |
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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.