Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ALYSSA MARIE CIVANTOS MD
NPI 1457939746
Otolaryngology in Stanford, CA

Active since March 30, 2021PECOS Enrolled
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2026, Mar 31, 2021 (2 updates tracked since 2021).

About Alyssa Marie Civantos Md NPPES

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

ALYSSA MARIE CIVANTOS MD (NPI 1457939746) is an individual otolaryngology provider in Stanford, California, licensed in California (A193972) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457939746
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameALYSSA MARIE CIVANTOSCredential: MD
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1457939746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CA · A193972
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

300 PASTEUR DR, Stanford, CA 94305

Secondary Practice Location 1

Location 12233 Post St Fl 3San Francisco, CA 94115-3470 · Phone (415) 476-4952

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alyssa Marie Civantos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446632277
PECOS Enrollment IDI20260515001994
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Emergency Medicine
300 PASTEUR DR, H3200, M/C 5230
PALO ALTO, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Obstetrics & Gynecology
300 PASTEUR DR
STANFORD, CA 94305
Obstetrics & Gynecology
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR, SUMC - PEDS PHYSICIAN BILLING MC:5530
PALO ALTO, CA 94305
Anesthesiology
300 PASTEUR DR
STANFORD, CA 94305
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305

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 Alyssa Civantos's NPI number?

The NPI number for Alyssa Civantos is 1457939746. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Alyssa Civantos located?

Alyssa Civantos practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Alyssa Civantos's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Alyssa Civantos enrolled in Medicare?

Yes. Alyssa Civantos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Civantos was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.