Individual provider Active NPI

Stephen Paul Ternlund, MD

  • Anesthesiology Physician
  • Novato, CA
National Provider Identifier
1063457174
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A82232 Issued in CA
Practice address
55 Rowland Way # 1043
Novato, CA 94945-5001
Phone
(650) 387-1934
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A82232 CA Primary

Addresses

Primary practice location

55 Rowland Way # 1043
Novato, CA 94945-5001

Mailing address

PO Box 7793
San Francisco, CA 94120-7793

Other identifiers 1

IdentifierTypeStateIssuer
A82232OtherCAMEDICAL BOARD OF CALIFORNIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050729000347 CA Practitioner - Anesthesiology 5698703817 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Care Associates Medical Group, IncGroup PAC ID 1850334384, 108 clinicians

Practice addresses (Care Compare)

50 Professional Ctr Dr
Suite 210
Rohnert Park, CA 94928-2173
Phone (707) 595-5306

Hospital & facility affiliations

  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82232CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Consultants of Marin Anesthesiology CurrentSince Oct 9, 2023 Accepting new patients
Anesthesia Care Associates Medical Group Inc Anesthesiology CurrentSince Nov 14, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Mar 27, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Northern California Anesthesia Anesthesiology Past Accepting new patients

Locations

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

100 Rowland Way
Ste 145
Novato, CA 94945
Phone (415) 209-2500

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

50 Professional Center Dr
Ste 210
Rohnert Park, CA 94928
Phone (707) 588-7939

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1063457174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7793",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ROWLAND WAY # 1043",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455001",
            "telephone_number": "650-387-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERNLUND",
        "first_name": "STEPHEN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A82232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A82232",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.