DR. RANDALL H VAGELOS (NPI# 1407981889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407981889 |
| Entity Type | Individual |
| Full Name | DR. RANDALL H VAGELOS |
| Credential | M.D. |
| Practice Address |
300 Pasteur Dr. Falk 279 Stanford CA 94404-5406 |
| Practice Telephone | 6507236406 |
| Practice Fax Number | 6507251599 |
| Mailing Telephone | 6507236406 |
| Mailing Fax Number | 6507251599 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2014-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
G59381 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
300 PASTEUR DR. FALK 279 |
| City | STANFORD |
| State | CA |
| Zip Code | 94404-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225053739 | Zina Zarshenas Payman | Radiology | 300 Pasteur Dr., Stanford, CA 94305 | 2006-07-13 |
| 1588293286 | David Anthony Hartmann | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr., Lane 154, Stanford, CA 94305-5133 | 2020-04-04 |
| 1578022828 | Kavitha Subramanian | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr., Lane 154, Stanford, CA 94305-5133 | 2019-03-17 |
| 1316393747 | Terrence Pong | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr., Falk Cardiovascular Research Bldg., Stanford, CA 94305-5407 | 2016-05-04 |
| 1497122360 | Cheryl Ann Passanisi | Nurse Practitioner | 300 Pasteur Dr., Stanford, CA 94305 | 2015-08-27 |
| 1174943195 | Asiri Ediriwickrema | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr., Lane 154, Stanford, CA 94305-5133 | 2014-04-17 |
| 1609160902 | Katherine Marie Shea | Emergency Medicine | 300 Pasteur Dr., Stanford Hospital and Clinics, Stanford, CA 94305-2200 | 2011-06-03 |
| 1578868626 | Michelle Marie Klesczewski | Nurse Practitioner | 300 Pasteur Dr., Stanford Hospital and Clinics, Stanford, CA 94305-5327 | 2011-01-21 |
| 1669782645 | Andrea Jayne Frederick | Nurse Practitioner | 300 Pasteur Dr., Room A260, Stanford, CA 94305-5319 | 2010-10-08 |
| 1598996464 | Neil Kulin Shah | Pathology | 300 Pasteur Dr., Room H-1402 M/c 5626, Stanford, CA 94305-5626 | 2009-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497235709 | Kathleen Clare Tamm | Marriage & Family Therapist | 716 Coronado Lane, Foster City, CA 94404 | 2018-08-16 |
| 1699126128 | Pooja Dhir | Chiropractor | 951 Edgewater Boulevard, Suite B, Foster City, CA 94404 | 2016-06-27 |
| 1043670441 | Charlene Hsiaoching Chang | Nurse Practitioner | 987 E Hillsdale Blvd # 9879, Foster City, CA 94404 | 2016-02-26 |
| 1346605938 | Roderick Cooper | Specialist | 1108 S. El Camino Real, San Mateo, CA 94404 | 2015-12-23 |
| 1538594452 | Marie-josee Landry | Dentist | 581, Foster City Blvd, Foster City, CA 94404 | 2013-09-10 |
| 1184963852 | Jerome Nillo | Physical Therapist | 1049 Foster City Blvd., Apt C, Foster City, CA 94404 | 2013-01-31 |
| 1710230826 | Ascend Genomics, LLC | Pathology | 320 Hatch Dr, Foster City, CA 94404 | 2012-10-26 |
| 1962753533 | Qiong Chen | Acupuncturist | 885 Balboa Ln, Foster City, CA 94404 | 2012-09-24 |
| 1518226968 | Elham Attari | Physical Therapist | 808 Cortez Ln, Foster City, CA 94404 | 2012-05-04 |
| 1437451861 | Thalia Maryam Farshchian | Naturopath | 1098 Foster City Blvd Suite 305, Foster City, CA 94404 | 2010-11-17 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700207941 | Young Kim | Internal Medicine | 251 Campus Drive Room X3c46 Medical School Office Bdg, Division of General Medical Disciplines, Stanford, CA 94305 | 2013-12-13 |
| 1538201520 | Joshua Knowles | Internal Medicine | Falk Cvrc, 300 Pasteur Drive, Stanford, CA 94305 | 2007-02-13 |
| 1932249174 | Phillip C. Yang | Internal Medicine | 300 Pasteur Dr # H2157, Stanford University Medical Center, Stanford, CA 94305-2200 | 2007-02-07 |
| 1508906728 | Michael Vincent Mcconnell | Internal Medicine | 300 Pasteur Dr # H-2157, Stanford University Medical Center, Stanford, CA 94305-2200 | 2007-02-07 |
| 1467536516 | Robert Harrington | Internal Medicine | 300 Pasteur Drive, S-102, Department of Medicine, Mc:5110, Stanford, CA 94305 | 2006-10-25 |
| 1427146216 | Todd Jeffrey Brinton | Internal Medicine | 300 Pasteur Dr Rm H2103, Stanford, CA 94305-2200 | 2006-10-10 |
| 1629002381 | Ian S. Rogers | Internal Medicine | 300 Pasteur Drive, H2157, Stanford University, Cardiovascular Medicine, Stanford, CA 94305-5233 | 2006-07-10 |
| 1619928892 | Nitish Badhwar | Internal Medicine | 300 Pasteur Dr Rm H2146a, Stanford, CA 94305-2200 | 2006-05-13 |
| 1912560244 | Kegan James Moneghetti | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2019-04-22 |
| 1548735509 | Rahul P Sharma | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2018-10-05 |
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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.