PALO ALTO PERFUSION SERVICE
NPI 1124630900
Perfusionist in Palo Alto, CA

Active since August 21, 2020
3801 MIRANDA AVE, PALO ALTO, CA 94304(408) 202-5609 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Perfusionist

About PALO ALTO PERFUSION SERVICE

This page provides the complete NPI Profile along with additional information for Palo Alto Perfusion Service, a provider established in Palo Alto, California operating as a Perfusionist. The healthcare provider is registered in the NPI registry with number 1124630900 assigned on August 2020. The practitioner's primary taxonomy code is 242T00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Tanya L Blodget Ccp (President And Chief Perfusionist)

NPI
1124630900 Verify this NPI
Provider Name
PALO ALTO PERFUSION SERVICE
Entity Type
Organization
Location Address
3801 MIRANDA AVE PALO ALTO, CA 94304
Location Phone
(408) 202-5609
Mailing Address
2825 MAURICIA AVE SANTA CLARA, CA 95051
Mailing Phone
(408) 202-5609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2020
Last Update Date
08-21-2020
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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

Perfusionist

Taxonomy Code
242T00000X
Type
Technologists, Technicians & Other Technical Service Providers
Taxonomy Description
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

MRS. TANYA L BLODGET CCP

Authorized Official Title
PRESIDENT AND CHIEF PERFUSIONIST
Authorized Official Phone
(408) 202-5609

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
3801 MIRANDA AVE, B3-117 BLDG 100 UROLOGY (#112)
PALO ALTO, CA 94304
Internal Medicine
3801 MIRANDA AVE, PALO ALTO VAMC
PALO ALTO, CA 94304
Internal Medicine (Medical Oncology)
3801 MIRANDA AVE, MC 111
PALO ALTO, CA 94304
Family Medicine
3801 MIRANDA AVE
PALO ALTO, CA 94304
Internal Medicine (Rheumatology)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Nurse Practitioner (Gerontology)
3801 MIRANDA AVE, VAPAHCS, SCI #128
PALO ALTO, CA 94304
Clinical Nurse Specialist
3801 MIRANDA AVE, DVA PALO ALTO HCS 112A
PALO ALTO, CA 94304
Clinical Nurse Specialist (Gerontology)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Podiatrist (Foot & Ankle Surgery)
3801 MIRANDA AVE, POD/112
PALO ALTO, CA 94304
Clinical Nurse Specialist (Oncology)
3801 MIRANDA AVE, 111 HEM
PALO ALTO, CA 94304
Physician Assistant (Surgical)
3801 MIRANDA AVE, MC 112
PALO ALTO, CA 94304
Internal Medicine (Geriatric Medicine)
3801 MIRANDA AVE, GRECC (182B) VA PALO ALTO HCS
PALO ALTO, CA 94304
Internal Medicine
3801 MIRANDA AVE
PALO ALTO, CA 94304
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3801 MIRANDA AVE
PALO ALTO, CA 94304
Internal Medicine (Geriatric Medicine)
3801 MIRANDA AVE, MAILCODE 182B
PALO ALTO, CA 94304
Specialist
3801 MIRANDA AVE
PALO ALTO, CA 94304
Psychologist (Clinical)
3801 MIRANDA AVE, PALO ALTO VAHCS (116B)
PALO ALTO, CA 94304
Psychologist (Clinical)
3801 MIRANDA AVE, PSYCHOLOGY SERVICE (116B)
PALO ALTO, CA 94304
Clinical Neuropsychologist
3801 MIRANDA AVE, (151Y-PAD)
PALO ALTO, CA 94304
Clinical Nurse Specialist (Gerontology)
3801 MIRANDA AVE, MAIL CODE 182B/GRECC
PALO ALTO, CA 94304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124630900, enumerated as an "organization" on August 21, 2020.

The provider is located at 3801 MIRANDA AVE PALO ALTO, CA 94304 and the phone number is (408) 202-5609.

Perfusionist with taxonomy code 242T00000X.