LUCILE PACKARD CHILDRENS HOSPITAL (NPI# 1649383498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649383498 |
| Entity Type | Organization |
| Organization Name | LUCILE PACKARD CHILDRENS HOSPITAL |
| Practice Address |
725 Welch Rd Palo Alto CA 94304-1601 |
| Mailing Address |
2680 Hanover St Palo Alto CA 94304-1117 |
| Practice Telephone | 6504987103 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SIMONE ESSON (ACTING DIRECTOR) |
| Authorized Official Telephone | 6504987103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0048361 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063834943 | Lucile Packard Childrens Hospital | General Acute Care Hospital | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2014-01-13 |
| 1023121878 | Lucile Packard Childrens Hospital | Anesthesiology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
| 1932212784 | Lucile Packard Childrens Hospital | Psychiatry & Neurology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
| 1194838946 | Lucile Packard Childrens Hospital | Dermatology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
| 1003929852 | Lucile Packard Childrens Hospital | Obstetrics & Gynecology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
| 1821101676 | Lucile Packard Childrens Hospital | Psychiatry & Neurology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
| 1730292582 | Lucile Packard Childrens Hospital | Radiology | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-08-16 |
| 1073564571 | Lucile Packard Childrens Hospital | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-05-12 |
| 1033169560 | Lucile Packard Childrens Hospital | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-05-12 |
| 1134170574 | Lucile Packard Childrens Hospital | Pediatrics | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2006-05-12 |
| 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 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385440 | Jacob C Langer | Surgery | 730 Welch Rd, Palo Alto, CA 94304-1503 | 2016-02-01 |
| 1285784538 | Karl Gerard Sylvester | Surgery | 730 Welch Rd, 2nd Floor, Palo Alto, CA 94304 | 2007-01-11 |
| 1982751004 | Gary Edwin Hartman | Surgery | 780 Welch Rd, Suite 206, Palo Alto, CA 94304-1516 | 2007-01-03 |
| 1417971151 | Julie Robin Fuchs | Surgery | 730 Welch Rd, 2nd Floor, Palo Alto, CA 94304 | 2006-07-26 |
| 1609807064 | Wendy Tienhui Su | Surgery | 725 Welch Rd, Palo Alto, CA 94304 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629560149 | Norcal Pediatric Surgical Partners | Surgery | 21c Orinda Way # 276, Orinda, CA 94563-2534 | 2018-05-31 |
| 1598137291 | Pasadena Pediatric Surgery, Inc. | Surgery | 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 | 2015-10-21 |
| 1205121704 | Bindi Naik-mathuria | Surgery | 7512 Hampton Ave, West Hollywood, CA 90046-5503 | 2011-06-13 |
| 1295053437 | Ashley Walther | Surgery | 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 | 2010-05-12 |
| 1881918407 | R V Daluvoy Md Inc | Surgery | 908 East Main St, Barstow, CA 92311-2406 | 2010-03-25 |
| 1215162607 | James Pierce | Surgery | 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 | 2009-05-28 |
| 1790921641 | Clinica Medica Del Valle, Inc. | Surgery | 52-565 Harrison Street, Suite 104, Coachella, CA 92236-1534 | 2008-12-24 |
| 1225298870 | Payam Saadai | Surgery | 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 | 2008-06-16 |
| 1396916524 | Erin Brown | Surgery | 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 | 2008-03-15 |
| 1124203872 | Children's Hospital Los Angeles Medical Group | Surgery | 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 | 2007-12-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LUCILE PACKARD CHILDRENS HOSPITAL.
| 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.