DR. CECILE TEODORO FAJARDO


Address: 300 Pasteur Dr, Stanford, CA 94305
Phone: 6504978000

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
11234 Anderson St, Graduate Medical Education Office Csp 21005, Loma Linda, CA 923542804 9095584174

Office Location

Street Address 300 PASTEUR DR
City STANFORD
State CA
Zip Code 94305

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 2080P0210X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Nephrology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City STANFORD
Zip Code 94305

Improve Information

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Dataset Information

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.

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