AZADEH ROSE FAYAZI (NPI# 1639388994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639388994 |
| Entity Type | Individual |
| Full Name | AZADEH ROSE FAYAZI |
| Credential | MD |
| Practice Address |
770 Welch Rd Palo Alto CA 94304 |
| Mailing Address |
770 Welch Rd Palo Alto CA 94304-1511 |
| Practice Telephone | 6507369828 |
| Mailing Telephone | 6507369828 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
A115936 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 630 Park View Dr Apt 212, Santa Clara, CA 950543580 | 6142865096 |
| Street Address |
770 WELCH RD |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326009572 | Gordon K. Lee | Surgery | 770 Welch Rd, Suite 400, Mailcode 5715, Palo Alto, CA 94304-1511 | 2006-03-29 |
| 1558978643 | Mayra Flores | Nurse Practitioner | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2020-09-23 |
| 1730693037 | Emily Cummings Hardy | Midwife | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-11-22 |
| 1801316153 | Laurel Kathleen Back Kent | Nurse Practitioner | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-06-27 |
| 1184151573 | Lucile Packard Children's Hospital | General Acute Care Hospital | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2017-05-16 |
| 1144753898 | Alexander Li | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Attn: Alexander Li, Plastic Surgery, Palo Alto, CA 94304-1511 | 2017-04-10 |
| 1477907665 | Janos Barrera | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Palo Alto, CA 94304-1511 | 2016-04-14 |
| 1750735999 | Anna Zhou | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Suite 400, Palo Alto, CA 94304-1511 | 2016-04-13 |
| 1174907083 | Zeshaan Maan | Surgery | 770 Welch Rd, 4th Floor, Plastic Surgery Office, Palo Alto, CA 94304-1511 | 2015-07-10 |
| 1437546561 | Travis Joseph Miller | Student in an Organized Health Care Education/Training Program | 770 Welch Rd, Suite 400, Palo Alto, CA 94304-1511 | 2015-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170611 | Richard Engdahl | Specialist/Technologist, Other | 820 Quarry Road, Mc1078 Hf006, Palo Alo, CA 94304 | 2020-07-04 |
| 1720603582 | Lily Wenya Zhou | Psychiatry & Neurology | 780 Welch Road, Suite 350, Stanford Stroke Center, Palo Alto, CA 94304 | 2020-06-08 |
| 1033738521 | Perry Seo Choi | Student in an Organized Health Care Education/Training Program | Dept of Cardiothoracic Surgery, Falk Building, 870 Quarry Rd, Palo Alto, CA 94304 | 2020-04-14 |
| 1073150355 | Tara Mcdermott | Nurse Practitioner | 500 Pasteur Drive, Cardiovascular Intensive Care Unit, Palo Alto, CA 94304 | 2019-12-05 |
| 1811542723 | Mark Henry Chubb | Pediatrics | Stanford Children's Health, 725 Welch Road, Palo Alto, CA 94304 | 2019-08-07 |
| 1194285114 | Cora Steindl | Nurse Practitioner | 300 Pasteur Drive Rm H2512, Stanford, CA 94304 | 2019-03-25 |
| 1407333057 | Deborah Menet Landi | Social Worker | Lucile Packard Children's Hospital Stanford, 725 Welch, Mc 5933, Palo Alto, CA 94304 | 2018-07-26 |
| 1982100798 | Jonathan Hootman | Student in an Organized Health Care Education/Training Program | 900 Quarry Road Extension, Palo Alto, CA 94304 | 2018-04-02 |
| 1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
| 1194248153 | Chanel Beaudoin Cloutier | Plastic Surgery | 770 Welch Road, Suite 400, Palo Alto, CA 94304 | 2017-07-21 |
| Find all providers in zip 94304 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679005490 | Ala Soofian | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2017-03-30 |
| 1447662390 | Lara Christina Jones | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2014-05-27 |
| 1467776260 | Eunice Koh | Pediatrics | 770 Welch Road, Pediatric Critical Care, Suite 435, Palo Alto, CA 94304 | 2010-03-23 |
| 1144471681 | Mihaela Alina Damian | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2008-10-02 |
| 1215196050 | Katherine Marie Steffen | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2008-06-06 |
| 1043487101 | Andy Yen-ming Wen | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2008-05-08 |
| 1821286857 | Natalie Pageler | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2007-10-03 |
| 1326248642 | Lillian Su | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2007-07-24 |
| 1457486300 | Michael Joshua Cisco | Pediatrics | 725 Welch Rd, Packard Childrens Hospital At Stanford, Palo Alto, CA 94304-1601 | 2007-02-22 |
| 1851426688 | Deborah Franzon | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2007-02-22 |
| Find all providers in PALO ALTO | ||||
Please comment or provide details below to improve the information on AZADEH ROSE FAYAZI.
| 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.