Individual provider Active NPI

Donato Joseph Stinghen, MD

  • Surgery Physician
  • San Leandro, CA
National Provider Identifier
1083624050
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00G302260 Issued in CA
Practice address
13851 E 14TH St Ste 202
San Leandro, CA 94578-2627
Phone
(510) 347-4700
Fax
(510) 347-4712
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 00G302260 CA Primary

Addresses

Primary practice location

13851 E 14TH St Ste 202
San Leandro, CA 94578-2627

Mailing address

13851 E 14TH St Ste 202
San Leandro, CA 94578-2627
Phone (510) 347-4700

Other identifiers 1

IdentifierTypeStateIssuer
00G302260MedicaidCA

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
I20081129000010 CA Practitioner - General Surgery 5890855449 Reassigns benefits to 1 organization
Practice locations: Alameda, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00G302260CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dstinghen14576@alamedahs.direct-ci.com

Organizations & group practices 2

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1083624050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782627",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13851 E 14TH ST STE 202",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782627",
            "telephone_number": "510-347-4700",
            "fax_number": "510-347-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINGHEN",
        "first_name": "DONATO",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "00G302260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G302260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.