Active NPI
Stephen Zilber, Lac, PC
- Allergy Physician
- Sebastopol, CA
National Provider Identifier
1023690591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Legal business name
- STEPHEN ZILBER, LAC, PC
- Doing business as
- Allergy Relief Center of Sonoma County
Modern Ancient Medicine - Practice address
- 1020 Gravenstein Ave Ste 100
Sebastopol, CA 95472-4570 - Phone
- (855) 488-1800
- Fax
- (707) 639-1350
- NPI assigned
- Apr 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Zilber, DACM, LAC
- Title
- President
- Phone
- (855) 488-1800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | |||
| Allergy Physician | 207KA0200X | Primary |
Addresses
Primary practice location
1020 Gravenstein Ave Ste 100
Sebastopol, CA 95472-4570
Mailing address
1020 Gravenstein Ave Ste 100
Sebastopol, CA 95472-4570
Phone (855) 488-1800
Other names 2
- Allergy Relief Center of Sonoma County
- Modern Ancient Medicine
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Sebastopol, CA
- NPI 1619057700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619222400000",
"number": "1023690591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 GRAVENSTEIN AVE STE 100",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724570",
"telephone_number": "855-488-1800",
"fax_number": "707-639-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 GRAVENSTEIN AVE STE 100",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954724570",
"telephone_number": "855-488-1800",
"fax_number": "707-639-1350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN ZILBER, LAC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-24",
"last_updated": "2021-04-24",
"certification_date": "2021-04-24",
"status": "A",
"authorized_official_last_name": "ZILBER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "855-488-1800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DACM, LAC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207KA0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Allergy Relief Center of Sonoma County",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Modern Ancient Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.