Organization Active NPI

Stein Medical Group PC

  • Dermatology Physician
  • Las Vegas, NV
National Provider Identifier
1144992785
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
STEIN MEDICAL GROUP PC
Practice address
7395 S Pecos Rd Ste 101
Las Vegas, NV 89120-3714
Phone
(702) 847-6555
Fax
(702) 847-6428
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Mija Sung
Title
Office Manager/Administrator
Phone
(858) 774-7287

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X

Addresses

Primary practice location

7395 S Pecos Rd Ste 101
Las Vegas, NV 89120-3714

Mailing address

7204 Shoreline Dr Unit 160
San Diego, CA 92122-4928
Phone (858) 774-7287

Other names 1

  • UNIVERSITY DERMATOLOGY & SKIN SURGERY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1144992785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7204 SHORELINE DR UNIT 160",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224928",
            "telephone_number": "858-774-7287",
            "fax_number": "702-847-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7395 S PECOS RD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203714",
            "telephone_number": "702-847-6555",
            "fax_number": "702-847-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEIN MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "MIJA",
        "authorized_official_title_or_position": "OFFICE MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "858-774-7287"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY DERMATOLOGY & SKIN SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.

Verify at the official NPI Registry.