Unknown Individual – Nurse Practitioner, NPI 1003056151
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Cafe Salute, 875, Blake Wilbur Drive, Stanford, Palo Alto, Santa Clara County, California, 94305-6015, United States
ROOM CC2221
STANFORD, CA 943055826
Phone: (650) 724-5707
Fax: (650) 498-4686
Type: Location
817, Charmain Drive, Campbell, Santa Clara County, California, 95008, United States
CAMPBELL, CA 950081822
Phone: (650) 724-5707
Fax: (650) 498-4686
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Abbott Laboratories ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | CA | |
| - | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Pain Management, Anesthesiology | CA | |
| A N E S T H E S I O L O G Y | CA | |
| Hematology, Medical Oncology | NY | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | CA |
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