Active NPI
Stephen J. Whitgob
- Family Medicine Physician
- Berkeley, CA
National Provider Identifier
1235443292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G024893
- Legal business name
- STEPHEN J. WHITGOB
- Practice address
- 2900 Telegraph Ave
Berkeley, CA 94705-2018 - Phone
- (510) 883-9883
- NPI assigned
- Aug 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen J. Whitgob
- Title
- Physician
- Phone
- (415) 883-9883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G024893 | CA | Primary |
Addresses
Primary practice location
2900 Telegraph Ave
Berkeley, CA 94705-2018
Mailing address
2900 Telegraph Ave
Berkeley, CA 94705-2018
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1235443292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052018",
"telephone_number": "510-883-9883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN J. WHITGOB",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-02",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "WHITGOB",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "415-883-9883"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G024893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.