STANFORD HEALTH CARE
NPI 1053844647
Dermatology in Livermore, CA

NPI Status: Active since April 10, 2017

Contact Information

1133 E STANLEY BLVD
SUITE 111
LIVERMORE, CA
ZIP 94550
Phone: (925) 373-4601
Fax: (925) 373-4611

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  • Organization
  • Dermatology
  • CLIA Number: 05D0599582
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-12-2025

About STANFORD HEALTH CARE

This page provides the complete NPI Profile along with additional information for Stanford Health Care, a provider established in Livermore, California operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1053844647 assigned on April 2017. The practitioner's primary taxonomy code is 207N00000X with license number 070000662 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Stanford Health Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is David Connor (Cfo)

NPI
1053844647
Provider Name
STANFORD HEALTH CARE
Entity Type
Organization
Location Address
1133 E STANLEY BLVD SUITE 111 LIVERMORE, CA 94550
Location Phone
(925) 373-4601
Location Fax
(925) 373-4611
Mailing Address
1804 EMBARCADERO RD SUITE 100 PALO ALTO, CA 94303
Mailing Phone
(650) 498-5793
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2017
Last Update Date
04-10-2017
Code Navigator

A dermatologist like Stanford Health Care is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
070000662
License State
CA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID CONNOR

Authorized Official Title
CFO
Authorized Official Phone
(650) 725-1074

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0599582
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 13, 2023
Certificate Expiration Date
December 12, 2025
Laboratory Director
DR. MAGGIE M. LAM
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Stanford Health Care on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053844647, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 6 + 4 + 8 + 6 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1053844647.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
1133 E STANLEY BLVD, SUITE 207
LIVERMORE, CA 94550
Dentist (Oral and Maxillofacial Surgery)
1133 E STANLEY BLVD, SUITE 215
LIVERMORE, CA 94550
Obstetrics & Gynecology
1133 E STANLEY BLVD, SUITE 205
LIVERMORE, CA 94550
Obstetrics & Gynecology (Obstetrics)
1133 E STANLEY BLVD, SUITE 205
LIVERMORE, CA 94550
Specialist
1133 E STANLEY BLVD, SUITE#117
LIVERMORE, CA 94550
Specialist
1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550
Pediatrics
1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550
Nurse Practitioner (Pediatrics)
1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550
Pediatrics
1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550
Pediatrics
1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550
Family Medicine
1133 E STANLEY BLVD, SUITE 201
LIVERMORE, CA 94550
Pediatrics
1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550
Family Medicine
1133 E STANLEY BLVD, SUITE 201
LIVERMORE, CA 94550
Internal Medicine (Interventional Cardiology)
1133 E STANLEY BLVD, SUITE 207
LIVERMORE, CA 94550
Obstetrics & Gynecology
1133 E STANLEY BLVD, SUITE 205
LIVERMORE, CA 94550
Pediatrics
1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550
Orthopaedic Surgery
1133 E STANLEY BLVD, SUITE 111
LIVERMORE, CA 94550
Nurse Practitioner (Family)
1133 E STANLEY BLVD
LIVERMORE, CA 94550
Pediatrics
1133 E STANLEY BLVD, #103
LIVERMORE, CA 94550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053844647, enumerated as an "organization" on April 10, 2017.

The provider is located at 1133 E STANLEY BLVD SUITE 111 LIVERMORE, CA 94550 and the phone number is (925) 373-4601.

Dermatology with taxonomy code 207N00000X.