PACIFIC LIFE LINES, INC. (NPI# 1619382983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619382983 |
| Entity Type | Organization |
| Organization Name | PACIFIC LIFE LINES, INC. |
| Practice Address |
300 Pasteur Dr Palo Alto CA 94305-2200 |
| Mailing Address |
Po Box 27573 San Francisco CA 94127-0573 |
| Practice Telephone | 8128440385 |
| Mailing Telephone | 8128440385 |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | MRS. OLIVIA NOEL ISAACS (PERFUSIONIST) |
| Authorized Official Telephone | 8128440385 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | OI=========9 | CA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
300 PASTEUR DR |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253415 | Alexandra Cummings | Physician Assistant | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-10-21 |
| 1881291052 | Daniel Choban | Respiratory Therapist, Certified | 300 Pasteur Dr, Palo Alto, CA 94305-2295 | 2020-10-01 |
| 1609483403 | Julia Reed | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-25 |
| 1801402623 | Lakshitha Sivanandan | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-17 |
| 1386259703 | Blair Bigham | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-09-11 |
| 1043823750 | Kianoosh Keyhanian | Pathology | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-24 |
| 1437761186 | Grace Kioko | Nurse Practitioner | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-08-22 |
| 1285256743 | James Ryan Houston | Technician, Other | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-05-07 |
| 1306466768 | Lily Hyunkyung Kim | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94304-2203 | 2020-04-25 |
| 1033738604 | Taylor Renee Johnson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2020-04-13 |
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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 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265900609 | Juan Carlos Tud | Perfusionist | 250 Fernando Ave, Palo Alto, CA 94306-2814 | 2018-11-04 |
| 1972717965 | Virginia Heitman Diamond | Perfusionist | 426 Palo Alto Ave, Palo Alto, CA 94301-1217 | 2007-05-09 |
| 1346460433 | Robert Martin Bernstein | Perfusionist | 3833 Park Blvd, Apt #1, Palo Alto, CA 94306-3490 | 2007-04-30 |
| 1124630900 | Palo Alto Perfusion Service | Perfusionist | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2020-08-21 |
| 1205241452 | Pacific Life Lines, Inc | Perfusionist | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2014-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574599 | Jonathan Persa | Perfusionist | 500 Race St Apt 4204, San Jose, CA 95126-5155 | 2020-09-24 |
| 1215551825 | Samantha Rhymer | Perfusionist | 2280 W El Camino Real Apt 3117, Mountain View, CA 94040-6231 | 2020-05-31 |
| 1912537770 | Ecmo Prn LLC | Perfusionist | 1246 Mission Rd, South San Francisco, CA 94080-1212 | 2020-01-21 |
| 1174082424 | Tun Win | Perfusionist | 580 N Wilma Ave Ste F, Ripon, CA 95366-9514 | 2019-03-17 |
| 1801318431 | Kevin Saiki | Perfusionist | 27729 Willow Trl, Escondido, CA 92026-7327 | 2017-07-14 |
| 1528597234 | Samantha Kollmann | Perfusionist | 700 Bair Island Rd # 230-204, Redwood City, CA 94063-2872 | 2017-06-06 |
| 1023546991 | Vina Nguyen | Perfusionist | 105 Fairchild Dr, Mountain View, CA 94043-2014 | 2017-05-23 |
| 1285175679 | Monette Thiele | Perfusionist | 668 Alice St, Monterey, CA 93940-2002 | 2017-03-17 |
| 1073055521 | Brian Haack | Perfusionist | 4638 Pepperwood Ave, Long Beach, CA 90808-1071 | 2016-11-15 |
| 1922550664 | Pablo Zubiate | Perfusionist | 13999 Limousin Drive, Chico, CA 95973 | 2016-10-28 |
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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.