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PALO ALTO MEDICAL FOUNDATION
NPI 1184077497
Marriage & Family Therapist in Palo Alto, CA

Active since July 21, 2016CLIA Certified · 2 labs
795 EL CAMINO REAL, LEVEL 1, JAMPLIS BUILDING, PALO ALTO, CA 94301(650) 853-2904 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Palo Alto Medical Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PALO ALTO MEDICAL FOUNDATION (NPI 1184077497) is a healthcare organization registered as a marriage & family therapist in Palo Alto, California and active in the NPI registry since July 2016. The organization holds 2 active CLIA laboratory certificates and lists Paula Thibodeau, Manager, as its authorized official.

NPPES Registry Identity

NPI1184077497
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NamePALO ALTO MEDICAL FOUNDATION
Location Address795 EL CAMINO REAL, LEVEL 1, JAMPLIS BUILDINGPalo Alto, CA 94301-2302
Mailing Address795 El Camino Real, Level 1, Jamplis BuildingPalo Alto, CA 94301-2302
Phone(650) 853-2904
Organization SubpartYesParent: Sutter Health
Authorized OfficialPaula ThibodeauManager · (650) 934-3526
Enumeration DateJuly 21, 2016
✔ NPI 1184077497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LCSW 66546
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
795 EL CAMINO REAL, Palo Alto, CA 94301
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0062682

Palo Alto Medical Foundation Clinical Lab · Palo Alto, CA
Active · expires Jul 14, 2027
CLIA Number05D0062682
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorDr. Jon L. Keller
Laboratory Phone(650) 853-3453
Laboratory LocationPalo Alto Medical Foundation Clinical Lab795 El Camino Real, Level A Lee Bldg, Palo Alto, CA 94301
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1007177

Palo Alto Medical Foundation - Palto Alto Center · Palo Alto, CA
Active · expires Dec 9, 2026
CLIA Number05D1007177
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorMichael Mcnamara
Laboratory Phone(650) 596-4253
Laboratory LocationPalo Alto Medical Foundation - Palto Alto Center795 El Camino Real Lee, Jamplis, And Clark Bldg, Palo Alto, CA 94301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHIRA BETH LIPTON M.D.
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2982
DR. KATHERINE A KWIATKOWSKI MD
Psychiatry & Neurology (Psychiatry)
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2904
MS. HEATHER HUGHES ROSE PT
Physical Therapist
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (707) 280-2417
CRYSTAL TSAI MS, RD
Dietitian, Registered
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2961
RUTH ROTHMAN MD
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-4865
WINONA TAN M.D.
Obstetrics & Gynecology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2917
SHERRY HUANG MD
Family Medicine
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2984
DR. JULIA MCKENZIE GABHART M.D.
Pediatrics
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 321-4121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Palo Alto Medical Foundation's NPI number?

The NPI number for Palo Alto Medical Foundation is 1184077497. It was assigned to this organization in the NPPES registry on July 21, 2016.

Where is Palo Alto Medical Foundation located?

Palo Alto Medical Foundation is located at 795 El Camino Real Level 1, Jamplis Building, Palo Alto, CA 94301. The listed phone number is (650) 853-2904.

What is Palo Alto Medical Foundation's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Does Palo Alto Medical Foundation hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Palo Alto Medical Foundation was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.