Individual provider Active NPI

Stephen Reese Nord, MD

  • Occupational Medicine Physician
  • Pleasanton, CA
National Provider Identifier
1255484689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
G36135 Issued in CA
Practice address
5635 W Las Positas Blvd
Suite 401
Pleasanton, CA 94588-8538
Phone
(925) 520-0055
Fax
(925) 520-0099
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X G36135 CA Primary

Addresses

Primary practice location

5635 W Las Positas Blvd
Suite 401
Pleasanton, CA 94588-8538

Mailing address

5635 W Las Positas Blvd
Suite 401
Pleasanton, CA 94588-8538
Phone (925) 520-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G36135CAMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255484689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 W LAS POSITAS BLVD",
            "address_2": "SUITE 401",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888538",
            "telephone_number": "925-520-0055",
            "fax_number": "925-520-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 W LAS POSITAS BLVD",
            "address_2": "SUITE 401",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888538",
            "telephone_number": "925-520-0055",
            "fax_number": "925-520-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORD",
        "first_name": "STEPHEN",
        "middle_name": "REESE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G36135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.