DR. PHILLIPS PERERA JR.


Address: 300 Pasteur Drive, Alway Building, M121, Division of Emergency Medicine, Stanford University, Stanford, CA 94305-2200
Phone: 6507259445

DR. PHILLIPS PERERA JR. (NPI# 1679684526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679684526
Entity Type Individual
Full Name DR. PHILLIPS PERERA JR.
Credential MD
Practice Address 300 Pasteur Drive, Alway Building, M121
Division of Emergency Medicine, Stanford University
Stanford
CA 94305-2200
Practice Telephone 6507259445
Practice Fax Number 6507230121
Mailing Telephone 6507259445
Mailing Fax Number 6507230121
Enumeration Date 2006-08-31
Last Update Date 2012-07-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 206235 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01961191 05

Office Location

Street Address 300 PASTEUR DRIVE, ALWAY BUILDING, M121
DIVISION OF EMERGENCY MEDICINE, STANFORD UNIVERSITY
City STANFORD
State CA
Zip Code 94305-2200

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669887337 Ari Edelheit Emergency Medicine 900 Welch Rd, Ste 350, Stanford, CA 94305 2014-06-21
1699113274 Jia Wen Jessica Chang Emergency Medicine 300 Pasteur Drive - Mc: 5119, Alway Building, M121, Stanford, CA 94305 2013-06-05
1710321062 Christian Rose Emergency Medicine Encina Hall, Room E016, 616 Serra Street, Stanford, CA 94305-6019 2013-04-17
1417226572 Rwo-wen Huang Emergency Medicine 300 Pasteur Drive, Alway Building M121, Mail Code: 5119, Stanford, CA 94305-2200 2011-12-19
1316110356 Geoffrey Schultz Emergency Medicine 1201 Welch Rd, Msls Bld., P323, Stanford, CA 94305-5102 2008-04-10
1083758197 Tsuyoshi Mitarai Emergency Medicine 300 Pasteur Dr Rm H3140, Stanford, CA 94305-2200 2007-02-20
1972691541 William Clayton Stafford Emergency Medicine 103 Hilltopper Dr, Stanford, KY 40484-1073 2006-10-10
1720018765 Noushafarin Nounou Taleghani Emergency Medicine 300 Pasteur Dr # M121, Stanford University Hospital, Stanford, CA 94305-2200 2006-07-04
1194768267 James Alvin Miller IIi Emergency Medicine 100 Jay Street, Stanford, KY 40484-7511 2006-06-14
1831149574 Orin L Eddy Emergency Medicine 300 Pasteur Dr, Alway Building M121, Stanford University School of Medicine, Emergency Medic, Stanford, CA 94305 2006-05-11
Find all providers in STANFORD

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City STANFORD
Zip Code 94305

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Dataset Information

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.

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