Active NPI
Stephen Buchner, MD
- Pediatrics Physician
- San Mateo, CA
National Provider Identifier
1013938786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C033833
- Practice address
- 50 S San Mateo Dr
Ste 180
San Mateo, CA 94401-3857 - Phone
- (650) 342-4145
- Fax
- (650) 342-2070
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C033833 | CA | Primary |
Addresses
Primary practice location
50 S San Mateo Dr
Ste 180
San Mateo, CA 94401-3857
Mailing address
50 S San Mateo Dr
Ste 180
San Mateo, CA 94401-3857
Phone (650) 342-4145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C033833 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013938786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S SAN MATEO DR",
"address_2": "STE 180",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013857",
"telephone_number": "650-342-4145",
"fax_number": "650-342-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S SAN MATEO DR",
"address_2": "STE 180",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013857",
"telephone_number": "650-342-4145",
"fax_number": "650-342-2070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHNER",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C033833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.