DR. JESSE KERR SANDBERG (NPI# 1639514490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639514490 |
| Entity Type | Individual |
| Full Name | DR. JESSE KERR SANDBERG |
| Credential | MD |
| Practice Address |
725 Welch Rd Palo Alto CA 94304-1601 |
| Practice Telephone | 6504978000 |
| Mailing Telephone | 6504978000 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2019-07-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
A150202 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
725 WELCH RD |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94304-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487658332 | Allen E Eskenazi | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2005-06-09 |
| 1689275059 | Colin Elie | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-11-03 |
| 1205434545 | Heather Casale | Dietitian, Registered | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-10-09 |
| 1427655851 | Rachel Chapman | Clinical Nurse Specialist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-10-08 |
| 1083220800 | Morgan Kailey Kosar | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-17 |
| 1164037644 | Matthew Ang Ly | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-09-11 |
| 1790398105 | Molly Mcguinness | Genetic Counselor, MS | 725 Welch Rd, Palo Alto, CA 94304-1614 | 2020-08-25 |
| 1811509292 | Stephanie Quinn Hutsell | Pharmacist | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-08-18 |
| 1487270120 | Koyelle Papneja | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-18 |
| 1881219715 | Judith M Flood | Nurse Practitioner | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-06-16 |
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| 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 | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740489350 | Michael Frederick Fadell II | Radiology | 725 Welch Rd Rm 1890, Palo Alto, CA 94304-1601 | 2007-07-13 |
| 1922447895 | Crystal Rene Norgren Farrell | Radiology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2013-06-24 |
| 1437444916 | Quan La | Radiology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2011-06-13 |
| 1184831158 | Carolina V Guimaraes | Radiology | 725 Welch Rd, Palo Alto, CA 94304 | 2007-05-17 |
| 1619014412 | Arvind Sonik | Radiology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2007-01-31 |
| 1962585125 | Donald Paul Frush | Radiology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-10-23 |
| 1578653317 | Francis Blankenberg | Radiology | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2006-10-13 |
| 1730292582 | Lucile Packard Childrens Hospital | Radiology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255702262 | Nicole Hughes | Radiology | 1975 4th St Rm C-1758l, San Francisco, CA 94158-2351 | 2015-10-16 |
| 1841633468 | Katherine Elizabeth Barton | Radiology | 4860 Y Street, Suite 3100, Sacramento, CA 95817-2309 | 2013-04-12 |
| 1609190578 | Brian Stewart Pugmire | Radiology | 1504 N Wishon Ave, Fresno, CA 93728-1827 | 2010-03-22 |
| 1427210160 | Juan C. Baez | Radiology | 11234 Anderson St Ste Mc-b623a, Loma Linda, CA 92354-2804 | 2008-06-25 |
| 1669657318 | University Childrens Medical Group | Radiology | 4650 W Sunset Blvd # 81, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1649495029 | Alexander Anthony Cacciarelli | Radiology | 2198 Ladycliff Cir, Thousand Oaks, CA 91360-1978 | 2007-04-13 |
| 1376698548 | Aegis Pediatric Imaging Medical Group | Radiology | 116 W Lime Ave, Monrovia, CA 91016-2841 | 2007-01-25 |
| 1386738870 | Cornelia Kaminsky | Radiology | 6430 Sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-02 |
| 1467472621 | Lane Frances Donnelly | Radiology | 300 Pasteur Dr # H1307, Stanford, CA 94305-2200 | 2006-07-20 |
| 1497710214 | Charles A. Gooding | Radiology | 5050 Parnassus Ave, San Francisco, CA 94143-0001 | 2006-04-18 |
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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.