Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Stanford Health Care

Organization Dermatology Physician · NPI 1053844647

Stanford Health Care provides Dermatology Physician services in Livermore, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

1133 E Stanley Blvd Ste 111
Livermore, CA 94550-4200
Phone: (925) 373-4601
Fax: (925) 373-4611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 070000662 (CA)

Record details

NPI number1053844647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Connor — Cfo · (650) 725-1074
NPI enumeratedApril 10, 2017
Last updated in NPPESApril 10, 2017
Mailing address1804 Embarcadero Rd, Suite 100, Palo Alto, CA 94303-3341

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