Stephanie Marta Rade, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A8673 Issued in CA

Practice address

1808 Verdugo Blvd
Ste 403
Glendale, CA 91208-1477

Phone

(818) 790-7098

Fax

(818) 790-7099

NPI assigned

Mar 8, 2007

Last updated

Nov 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1104957125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 ADDISON ST",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914231215",
            "telephone_number": "310-922-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 VERDUGO BLVD",
            "address_2": "STE 403",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912081477",
            "telephone_number": "818-790-7098",
            "fax_number": "818-790-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADE",
        "first_name": "STEPHANIE",
        "middle_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R&a Home Health Services Inc.
• Ryan Raam, M.D.
• Munif Y Rabadi, M.D
• Shayan Rad, PSY.D.
• Rada Hospice Inc
• Radiation Oncology Technical Associates, LLC (Glendale Cancer Treatment Center)
• Radium Home Health Care, Inc
• Radstar, LLC
• Raduga Home Health Agency
• Parvaneh Rafaeloff, MD

• Internal Medicine Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.