STANFORD UNIVERSITY (NPI# 1538696299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538696299 |
| Entity Type | Organization |
| Organization Name | STANFORD UNIVERSITY |
| Practice Address |
450 Serra Mall Palo Alto CA 94305-2004 |
| Mailing Address |
1717 Bath Rd Apt A-08 Bristol PA 19007-2747 |
| Practice Telephone | 4148974731 |
| Mailing Telephone | 4148974731 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | DR. NEERAJA KAMBHAM (PROGRAM DIRECTOR FOR ANATOMIC & CLI) |
| Authorized Official Telephone | 6507255193 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629322375 | Stanford University | General Acute Care Hospital | 129 Mosher Way, Palo Alto, CA 94304-2417 | 2012-11-02 |
| 1073873030 | Stanford University | General Acute Care Hospital | 300 Pasteur Dr Rm G333, Stanford, CA 94305-2200 | 2012-05-24 |
| 1518490291 | Stanford University | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 401 Quarry Rd, Stanford, CA 94305 | 2017-04-10 |
| 1841591773 | Stanford University | Special Hospital | 300 Pasteur Dr, # H3680, Stanford, CA 94305-5655 | 2010-11-09 |
| 1609189687 | Stanford University | General Acute Care Hospital | 875 Blake Wilbur Drive, Stanford, CA 94305-5847 | 2010-07-20 |
| 1023208030 | Stanford University | General Acute Care Hospital | 300 Pasteur Dr, Room G306, Stanford, CA 94305-2200 | 2007-07-26 |
| 1639383193 | Stanford University | General Acute Care Hospital | 780 Welch Rd, Suite 106, Palo Alto, CA 94304-1516 | 2007-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STANFORD UNIVERSITY | 450 Jane Stanford Way, Stanford, CA 94305-2004 |
| System for Award Management (SAM) Entities | STANFORD UNIVERSITY MEDICAL NETWORK RISK AUTHORITY, LLC | 1510 Page Mill Rd Ste 109, Palo Alto, CA 94304-1133 |
| Street Address |
450 SERRA MALL |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94305-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477866747 | Jennifer Amica Cohn | Physical Medicine & Rehabilitation | 450 Serra Mall, Palo Alto, CA 94305-2004 | 2010-07-15 |
| 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 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285079947 | Franklin Ray Elevitch | Pathology | 430 Nevada Ave, Palo Alto, CA 94301-4121 | 2013-05-07 |
| 1639312135 | Robert M Cardelli | Pathology | 85 Erstwild Ct, Palo Alto, CA 94303-2902 | 2009-04-13 |
| 1821144320 | Susan A. Galel | Pathology | 3373 Hillview Ave, Blood Center, Palo Alto, CA 94304-1204 | 2007-01-26 |
| 1699872127 | Jon Craig Kosek | Pathology | C/o Lab Service (113) Veterans Hospital, 3801 Miranda Ave, Palo Alto, CA 94304 | 2006-09-19 |
| 1902821333 | Elise Rosen-levin | Pathology | 1351 Dana Ave, Palo Alto, CA 94301-3114 | 2006-07-13 |
| 1508804980 | Ayce Dikmen Unal | Pathology | 2325 El Camino Real, Palo Alto, CA 94306-1620 | 2006-06-04 |
| 1437544632 | Derek Laskar | Pathology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2015-04-03 |
| 1679985428 | Tho Duc Pham | Pathology | 300 Pasteur Dr, None, Palo Alto, CA 94305-2200 | 2014-05-28 |
| 1275951485 | Hubert Lau | Pathology | 3801 Miranda Ave, Pathology and Laboratory Service (113), Palo Alto, CA 94304 | 2014-04-03 |
| 1255627295 | Puneeta Sarma Vasa | Pathology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2011-06-28 |
| 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.