Healthcare Provider Details

I. General information

NPI: 1609524701
Provider Name (Legal Business Name): YESENIA ALEJANDRA SIDHU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: YESENIA ALEJANDRA LEMUZ

II. Dates (important events)

Enumeration Date: 03/17/2022
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR
STANFORD CA
94305-2200
US

IV. Provider business mailing address

300 PASTEUR DR
STANFORD CA
94305-2200
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-4000
  • Fax:
Mailing address:
  • Phone: 650-723-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95019141
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95019141
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: