OrganizationActive
Stanford Employer Health Clinics
NPI 1093176331 · Primary Care Clinic/Center · San Diego, CA
Provider details
- NPI number
- 1093176331
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kwi Bulow, Lead Physician(650) 721-3099
- License
- G566674 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10155 Pacific Heights Boulevard
San Diego, CA 92121
Phone: (650) 721-3099
Fax: (650) 725-2480
Street-level locationGet directions
Mailing address
211 Quarry Rd
Palo Alto, CA 94304-1416
Registry dates
- Enumerated
- 2016-03-15
- Last updated
- 2016-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.