Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Marie Civantos, MD

Individual provider Otolaryngology Physician · NPI 1457939746

Alyssa Marie Civantos, MD is an Otolaryngology in Stanford, California. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2233 Post St Fl 3, San Francisco, CA 94115-3470 — (415) 476-4952

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence A193972 (CA)

Record details

NPI number1457939746
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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