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NPISignal

Individual Healthcare Provider

Danica Wiredja, MD

NPI Record: ActivePathology — Molecular Genetic Pathology
NPI1811459696
Stanford, California

Provider's NPPES record last updated: August 8, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1811459696
Primary Specialty
Pathology — Molecular Genetic Pathology
Practice Location
Stanford, California
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:50 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pathology

    Molecular Genetic Pathology

    Allopathic & Osteopathic Physicians

    Primary

    A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.

    Taxonomy code 207ZP0007X

Provider-Reported License Information

Pathology (Colorado)
DR.0071377
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

300 Pasteur Drive

Edwards Building, R204

Stanford, California 94305-4245

Phone: (650) 721-5755

Additional Practice Location

13123 E 16th Ave

Aurora, Colorado 80045-7106

Phone: (720) 777-1234

Record Information

Enumeration Date
April 2, 2019
Provider's NPPES Record Last Updated
August 8, 2023
Certification Date
August 8, 2023
NPISignal NPPES Dataset
August 2026

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