Healthcare Provider Details

I. General information

NPI: 1104611581
Provider Name (Legal Business Name): KAITLIN CLAIRE MACHINA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 WELCH RD
PALO ALTO CA
94304-1905
US

IV. Provider business mailing address

900 WELCH RD STE 350
PALO ALTO CA
94304-1807
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-5111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberPTL19204
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: