C. Garrison Fathman, MD
Allergy & Immunology · Stanford
- Medicare standing
- 2 flags on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
On the public record
- Medicare does not list them as allowed to order and refer
- California licence: Delinquent
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Fathman’s office at (650) 851-5866 to ask if they take your plan before you enroll.
California Medical Board record
Licence C33057 · Delinquent
Licence status: Delinquent · since 1970 · expires 2026-08-31 · Washington University School of Medicine.
License renewal fee has not been paid. No practice is permitted.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Professional record
- NPI
- 1770619926
- Licence
- CA C33057California C33057: Delinquent · expires 2026-08-31
More record details
- Sole proprietor
- No
- Medicaid ID
- CA 00C330570
- Taxonomy
- Federal specialty code 207K00000X (207K00000X)
- Mailing address
- 177 Grove Dr, Portola Valley, CA, 94028
- NPI first listed
- 2007-02-24
- NPI last updated
- 2008-04-04
This is when the NPI record was last certified, not a medical board exam.