NPIMap

Organization Active NPI

Stephanie M. Dentoni MD, Inc

Doing business as California Vein & Vascular Institute

  • Surgery Physician
  • Stockton, CA
National Provider Identifier
1063430718
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STEPHANIE M. DENTONI MD, INC
Doing business as
California Vein & Vascular Institute
Practice address
2216 N. California St. Ste C
Stockton, CA 95204
Phone
(209) 462-8346
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephanie M. Dentoni, M.D.NPI 1821099888
Title
President
Phone
(209) 462-8346

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2216 N. California St. Ste C
Stockton, CA 95204

Mailing address

PO Box 579120
Modesto, CA 95357-9120
Phone (209) 759-2533

Other names 1

  • California Vein & Vascular Institute Doing business as

National Provider Directory

National Provider Directory

Locations

2216 N California St
Ste C
Stockton, CA 95204
Phone (209) 462-8346

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1063430718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579120",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953579120",
            "telephone_number": "209-759-2533",
            "fax_number": "541-722-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 N. CALIFORNIA ST. STE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95204",
            "telephone_number": "209-462-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE M. DENTONI MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "DENTONI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-462-8346",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Vein & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "California Vein & Vascular Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.