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Kiranbir Josan, MD

Cardiovascular Disease (Cardiology) · Palo Alto

NPI 1811432867

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations

Looking this up.

Hospitals listed: Cedars-Sinai Medical Center. That is not proof they admit you there this week.

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. Josan’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A140714 · Current

Licensed to practise in California · since 2016 · expires 2027-03-31 · The University of Western Ontario Schulich School of Medicine and Dentistry.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Cedars-Sinai Medical CenterLos Angeles, CAAcute Care Hospital · Voluntary non-profit - Other · Has an emergency department · Birthing-friendlyPart of Cedars Sinai Health System, which runs 4 hospitalsPatients rate it 3 of 5 · 78% would definitely recommend it
    Overall rating: 5 of 5 starsWorse than the national rate — Postoperative sepsis rate: 7.77 (6.11 to 9.44) · 6,132 cases, Jul 2022 – Jun 2024Worse than the national rate — Rate of inpatient admissions for patients receiving outpatient chemotherapy: 12.8 (11.2 to 14.7) · 1,174 cases, Jan 2024 – Dec 2024Better than the national rate — Death rate among surgical inpatients with serious treatable complications: 134.15 (109.33 to 158.98) · 557 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.386, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.661, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.628, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.503, Oct 2024 – Sep 2025Better than the national rate — Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy: 3.8 (3 to 4.8) · 1,174 cases, Jan 2024 – Dec 2024Better than the national rate — Ratio of unplanned hospital visits after hospital outpatient surgery: 0.7 (0.6 to 0.8) · 2,580 cases, Jan 2024 – Dec 2024
See every measure and the patient survey for Cedars-Sinai Medical Center

Behind the star rating — Deaths: 7 better, 1 the same, 0 worse of 8 measures. Safety: 4 better, 4 the same, 0 worse of 8 measures. Readmissions: 3 better, 5 the same, 3 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Cedars-Sinai Medical Center
Postoperative sepsis rateComplications and deaths7.77 (6.11 to 9.44) · 6,132 casesWorseJul 2022 – Jun 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.8 (11.2 to 14.7) · 1,174 casesWorseJan 2024 – Dec 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths134.15 (109.33 to 158.98) · 557 casesBetterJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.386BetterOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.661BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.628BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.503BetterOct 2024 – Sep 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits3.8 (3 to 4.8) · 1,174 casesBetterJan 2024 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits0.7 (0.6 to 0.8) · 2,580 casesBetterJan 2024 – Dec 2024
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.66 (0.06 to 1.25) · 8,257 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.06 (0.92 to 1.2)No differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths1.7 · 223 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths5.9 · 191 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths8.3 · 409 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths5.5 · 1,544 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths9.5 · 1,742 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths11.6 · 549 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.3 · 9,504 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.14 (0 to 0.28) · 29,170 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.19 (0.05 to 0.32) · 31,661 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.1 (3.06 to 5.14) · 11,199 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.38 (0.47 to 2.29) · 6,024 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.05 (1.24 to 2.86) · 10,075 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths8.2 (5.76 to 10.65) · 6,012 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.91 (0.72 to 3.11) · 2,803 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.75 (0.47 to 1.03) · 27,865 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths3.1 · 472 casesNoneApr 2023 – Mar 2025
SSI - Abdominal HysterectomyInfections1.437No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections1.168No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.9 · 492 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits19 · 1,750 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits8.9 · 498 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-5.8 · 1,908 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits27.7 · 1,850 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.5 · 1,572 casesNoneJul 2023 – Jun 2025
Rate of readmission after hip/knee replacementUnplanned return visits4.7 · 449 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits10 · 172 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.1 · 240 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.9 (11.1 to 17.5) · 1,197 casesNo differentJan 2022 – Dec 2024

What patients said (1,081 patients answered, 20% of those asked)

Patient survey stars by topic at Cedars-Sinai Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating4
Quietness2
Recommend hospital4
Share of patients giving the best answer at Cedars-Sinai Medical Center
Room was "always" clean68%
Nurses "always" communicated well77%
Doctors "always" communicated well77%
Staff "always" explained57%
Yes, staff "did" give patients this information85%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand73%
Doctors "always" listened carefully76%
Doctors "always" treated them with courtesy and respect84%
Patients who gave a rating of "9" or "10" (high)75%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand73%
Nurses "always" listened carefully73%
Nurses "always" treated them with courtesy and respect84%
"Always" quiet at night51%
"YES", patients would definitely recommend the hospital78%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms87%

Original Medicare doctor bills

$89,877

Medicare paid this office $89,877 for 1,136 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function903$53,273$53
Long return visit (40+ min)57$8,990$118
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function34$7,991$178
New patient visit (60+ min)31$4,324$139
New patient visit (45+ min)34$3,796$112
See all 13 services
Every Original Medicare service billed
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function903$53,273$53
Long return visit (40+ min)57$8,990$118
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function34$7,991$178
New patient visit (60+ min)31$4,324$139
New patient visit (45+ min)34$3,796$112
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report46$2,985$65
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes17$2,631$67
Ultrasound of heart, follow-up43$908$21
Return visit (30+ min)11$832$76
Ultrasound of heart blood flow, valves and chambers52$717$14
Injection of x-ray contrast during ultrasound of heart17$493$29
Ultrasound of heart with color-depicted blood flow, rate and valve function81$198$2
Ultrasound of heart blood flow, valves and chambers, follow-up28$163$6

Who their Medicare patients are

1,136 Original Medicare patients in 2024. Average age 75 · Under 65 8% · 85 and older 17% · Women 51% · Also on Medicaid 29% · Health risk score 2.19. Above the middle of the specialty; the typical cardiology clinician is at 1.71.

Conditions among them: High blood pressure 75% · Coronary heart disease 66% · Heart failure 54% · Diabetes 43% · Atrial fibrillation 39% · Chronic kidney disease 34% · Cancer 25% · Depression 24% · COPD 21% · Stroke 17% · Dementia 10%.

The office billed $402,247, Medicare allowed $120,243 and paid $89,877; for 1,543 services of 24 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241,1361,543752.19$402,247$89,877
20231,1291,464752.23$362,021$82,102
20229291,202751.90$312,169$72,045
2021368538752.12$218,469$37,669
2020180379742.05$147,872$30,129
2019201400761.87$142,872$36,282
2018367576752.06$100,024$35,156
2017260393722.27$86,971$20,353

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 11 services

Original Medicare services billed in 2023
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function937$55,166$54
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function40$7,567$176
Long return visit (40+ min)30$4,270$115
New patient visit (60+ min)24$3,414$142
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report37$2,353$64
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$2,307$68
Ultrasound of heart, follow-up38$850$21
Ultrasound of heart blood flow, valves and chambers44$638$14
Injection of x-ray contrast during ultrasound of heart16$442$28
Ultrasound of heart blood flow, valves and chambers, follow-up34$212$6
Ultrasound of heart with color-depicted blood flow, rate and valve function74$192$3

2022: 7 services

Original Medicare services billed in 2022
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function807$50,156$56
New patient visit (60+ min)49$6,715$137
Long return visit (40+ min)26$4,766$122
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report42$2,600$62
Injection of x-ray contrast during ultrasound of heart23$657$29
Ultrasound of heart blood flow, valves and chambers42$571$14
Ultrasound of heart with color-depicted blood flow, rate and valve function45$104$2

2021: 13 services

Original Medicare services billed in 2021
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function162$9,957$60
Long return visit (40+ min)32$4,549$138
Long return visit (40+ min)29$3,896$126
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes30$3,519$66
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes26$2,488$92
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes14$1,660$119
Hospital discharge day management, more than 30 minutes14$1,401$100
Return visit (30+ min)13$1,084$83
Heart rhythm review and interpretation of continous external ekg over 8-15 days23$611$24
Telehealth originating site facility fee28$584$20
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician13$233$18
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only22$193$8
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician13$164$13

2020: 10 services

Original Medicare services billed in 2020
Return visit (30+ min)46$4,423$83
Hospital discharge day management, more than 30 minutes31$3,166$102
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes23$3,016$131
Long return visit (40+ min)20$2,408$105
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes16$2,138$69
New patient visit (45+ min)16$2,105$132
Review and interpretation of external ekg recording for more than 48 hours up to 21 days39$1,069$25
Short return visit (20+ min)18$975$51
Telehealth originating site facility fee35$842$22
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only12$107$8

2019: 10 services

Original Medicare services billed in 2019
Long return visit (40+ min)62$6,561$86
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes41$4,814$65
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes36$4,447$117
Hospital discharge day management, more than 30 minutes37$3,713$98
Initial hospital observation care per day, typically 50 minutes23$2,671$116
Long return visit (40+ min)19$2,587$99
New patient visit (45+ min)22$2,514$114
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes18$1,611$90
Hospital observation care on day of discharge23$1,507$66
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes11$1,208$93

2018: 9 services

Original Medicare services billed in 2018
Long return visit (40+ min)54$6,860$94
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes32$3,911$122
New patient visit (45+ min)39$3,808$98
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes27$3,203$65
Long return visit (40+ min)27$3,186$94
Hospital discharge day management, more than 30 minutes28$2,765$99
New patient visit (60+ min)13$1,803$139
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only191$1,605$7
Review and interpretation of external ekg recording for more than 48 hours up to 21 days25$613$25

2017: 7 services

Original Medicare services billed in 2017
New patient visit (60+ min)30$4,489$150
Long return visit (40+ min)27$3,271$99
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,319$122
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$2,267$65
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only164$1,435$8
Hospital discharge day management, more than 30 minutes12$1,178$98
Review and interpretation of external ekg recording for more than 48 hours up to 21 days31$857$24

Medicaid work

$3,758 in 2024

Medicaid paid $3,758 for 180 billed services this clinician did in 2024, up to 34 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography180$3,758
Medicaid work by year
2024180134$3,758
2023144128$3,795
202238113$728
202119119$196
202039314$1,275
201926114$1,889
2018121192$1,557
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography144$3,795

2022

Largest Medicaid services in 2022
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography38$728

2021

Largest Medicaid services in 2021
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only19$196

2020

Largest Medicaid services in 2020
1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES12$791
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter12$344
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only15$140

2019

Largest Medicaid services in 2019
Long return visit (40+ min)26$1,889

2018

Largest Medicaid services in 2018
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only121$1,557

Drugs they prescribed that Part D paid

$65,560

Pharmacies billed $65,560 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 391) in 2024. At or below the middle of the specialty; the typical cardiology clinician is at 0%.

343 generic and 48 brand-name prescriptions · $65,560 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Eliquis18$18,401$1,022
Rosuvastatin80$1,241$16
Clonidine12$945$79
Metoprolol46$607$13
Amlodipine Besylate19$446$23
See all 10 drugs
Every Part D drug this clinician prescribed
Eliquis18$18,401$1,022
Rosuvastatin80$1,241$16
Clonidine12$945$79
Metoprolol46$607$13
Amlodipine Besylate19$446$23
Atorvastatin20$224$11
Carvedilol25$153$6
Furosemide20$78$4
Losartan14$73$5
Isosorbide Mononitrate Er12$65$5

Year by year

Part D prescribing by year
2024391850% (0)12%$65,560
2023194500% (0)9%$22,512
2022251780% (0)15%$45,093
20216311030% (0)28%$142,035
20206321070% (0)21%$86,697
20195941010% (0)23%$79,478
2018450970% (0)None$36,050
2017126400% (0)21%$10,084

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 6 drugs

Part D drugs prescribed in 2023
Rosuvastatin33$793$24
Metoprolol19$631$33
Losartan17$345$20
Atorvastatin12$299$25
Amlodipine Besylate14$293$21
Valsartan11$106$10

2022: 10 drugs

Part D drugs prescribed in 2022
Eliquis12$13,302$1,108
Olmesartan-Amlodipine-Hctz13$3,095$238
Rosuvastatin14$1,463$105
Metoprolol23$860$37
Losartan15$217$14
Atorvastatin14$211$15
Amlodipine Besylate20$163$8
Lisinopril14$113$8
Losartan-Hydrochlorothiazide11$102$9
Furosemide11$35$3

2021: 15 drugs

Part D drugs prescribed in 2021
Eliquis74$70,198$949
Xarelto24$24,559$1,023
Entresto16$15,585$974
Brilinta18$7,675$426
Rosuvastatin36$1,850$51
Atorvastatin98$1,615$16
Metoprolol40$1,014$25
Losartan24$342$14
Carvedilol28$323$12
Clopidogrel17$280$16
Amlodipine Besylate31$234$8
Lisinopril22$205$9
Metoprolol22$149$7
Furosemide30$135$5
Hydrochlorothiazide11$33$3

2020: 13 drugs

Part D drugs prescribed in 2020
Eliquis64$43,573$681
Xarelto20$14,651$733
Atorvastatin96$1,587$17
Metoprolol32$1,236$39
Rosuvastatin25$1,098$44
Clopidogrel41$619$15
Losartan28$385$14
Amlodipine Besylate37$366$10
Carvedilol23$287$12
Hydralazine14$276$20
Lisinopril26$181$7
Digoxin12$135$11
Furosemide36$129$4

2019: 14 drugs

Part D drugs prescribed in 2019
Eliquis62$36,656$591
Xarelto21$13,336$635
Metoprolol45$1,884$42
Rosuvastatin27$1,560$58
Atorvastatin62$1,021$16
Clopidogrel30$456$15
Amlodipine Besylate46$363$8
Hydralazine18$327$18
Carvedilol23$291$13
Metoprolol23$205$9
Furosemide34$167$5
Lisinopril16$147$9
Digoxin14$117$8
Spironolactone12$62$5

2018: 10 drugs

Part D drugs prescribed in 2018
Eliquis25$21,949$878
Metoprolol49$1,804$37
Atorvastatin75$1,141$15
Rosuvastatin21$1,132$54
Amlodipine Besylate44$356$8
Carvedilol27$241$9
Furosemide43$221$5
Lisinopril30$171$6
Clopidogrel13$152$12
Metoprolol11$64$6

2017: 1 drug

Part D drugs prescribed in 2017
Atorvastatin12$301$25

Money from drug and device companies

$130 in 2025

Industry payments by year
202522None$130
202411None$119

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Corcept TherapeuticsKorlym$77
1 payment
  • Meals for Korlym · 2025-12-05 · $77
Novo NordiskWegovy$52
1 payment
  • Meals for Wegovy · 2025-12-04 · $52
See all 2 published payments
Every published payment
Corcept TherapeuticsMeals · 2025-12-05Korlym$77
Novo NordiskMeals · 2025-12-04Wegovy$52
See earlier years (2024)

2024: $119

Payments by company in 2024
Kiniksa Pharmaceuticals International plcArcalyst$119
1 payment
  • Meals for Arcalyst · 2024-05-16 · $119

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
87.7 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1811432867
Licence
CA A140714California A140714: Current · expires 2027-03-31
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Cardiology (207RC0000X)
Mailing address
4140 W 190th St, Torrance, CA, 90504
NPI first listed
2016-12-29
NPI last updated
2022-05-23
NPI record certified
2022-05-23

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 300 Pasteur Dr, Stanford, CA, 94305