Individual provider · Type 1 NPI

Sam Parker Genis, MD

Student in an Organized Health Care Education/Training Program · Palo Alto, CA

NPI number 1154025971 Active

Practice location

500 Pasteur Dr
Palo Alto, CA 94304-1048

Call (650) 723-6469 Map

Mailing address

140 Ravenna Way
El Dorado Hills, CA 95762-3500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1154025971

Sam Parker Genis, MD's National Provider Identifier is 1154025971, issued on Mar 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Palo Alto, CA. The record was last updated on Jun 14, 2026.