JUSTIN M KO (NPI# 1790912251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790912251 |
| Entity Type | Individual |
| Full Name | JUSTIN M KO |
| Credential | MD, MBA |
| Practice Address |
300 Pasteur Dr Palo Alto CA 94305-2200 |
| Mailing Address |
Massachusetts General Hospital 55 Fruit Street Boston MA 02114 |
| Practice Telephone | 6507236316 |
| Mailing Telephone | 6177265254 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2012-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | A120641 | CA | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | L-239279 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790269371 | Justin Ko | Pharmacist | 5 N Glen Cir, Oak Ridge, NJ 07438-9583 | 2018-09-20 |
| 1689203416 | Justin Ko | Student in an Organized Health Care Education/Training Program | 1102 Barclay St, San Antonio, TX 78207-7161 | 2020-04-03 |
| 1598232159 | Justin Ko | Pharmacist | 6600 Bruceville Rd, Sacramento, CA 95823-4671 | 2018-10-31 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942716196 | Nancy L Wong | Dermatology | 970 Palo Alto Ave, Palo Alto, CA 94301 | 2017-12-26 |
| 1053750240 | Sara Whitehead | Dermatology | 310 Bryant St, Palo Alto, CA 94301-1407 | 2013-06-20 |
| 1427277169 | Paul S. Kwon | Dermatology | 530 Lytton Ave, 2nd Floor, Palo Alto, CA 94301-1556 | 2007-04-24 |
| 1922154798 | Richard Joseph Schmidt | Dermatology | 1681 El Camino Real, Palo Alto, CA 94306-1009 | 2007-01-26 |
| 1629138847 | Patricia Lynn Wong | Dermatology | 153 Forest Ave, Palo Alto, CA 94301 | 2006-12-11 |
| 1538172051 | Susan M. Swetter | Dermatology | 900 Blake Wilbur Dr # W0069, Palo Alto, CA 94304-2201 | 2006-08-14 |
| 1780048991 | Roxana Rose Daneshjou | Dermatology | 211 Quarry Rd Fl 3, Palo Alto, CA 94304-1416 | 2016-04-13 |
| 1972964880 | Katherine Ransohoff | Dermatology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2016-03-19 |
| 1053776740 | Miguel Canales | Dermatology | 900 Welch Rd Ste 300, Palo Alto, CA 94304-1800 | 2015-12-22 |
| 1649698614 | Monica E Sandhu | Dermatology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2014-04-07 |
| Find all providers in PALO ALTO | ||||
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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.