IndividualActive
Jeff Stanton, CCP
NPI 1104338540 · Perfusionist · San Francisco, CA
Provider details
- NPI number
- 1104338540
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000063
Mailing address
119 Berendos Ave
Pacifica, CA 94044-3109
Registry dates
- Enumerated
- 2017-10-25
- Last updated
- 2017-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.