Active NPI
Stephen R Anastasiou, MD
- Pediatrics Physician
- Pleasanton, CA
National Provider Identifier
1275568529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C3289
- Practice address
- 5565 W Las Positas
Ste 240
Pleasanton, CA 94588 - Phone
- (925) 460-8444
- Fax
- (925) 460-8565
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C3289 | CA | Primary |
Addresses
Primary practice location
5565 W Las Positas
Ste 240
Pleasanton, CA 94588
Mailing address
3501 Kamp Dr
Pleasanton, CA 94588
Phone (925) 462-6608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DOC372890 | Other | PIN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| C3289 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275568529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 KAMP DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "94588",
"telephone_number": "925-462-6608",
"fax_number": "925-460-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 W LAS POSITAS",
"address_2": "STE 240",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "94588",
"telephone_number": "925-460-8444",
"fax_number": "925-460-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANASTASIOU",
"first_name": "STEPHEN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C3289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIN",
"identifier": "DOC372890",
"state": null
}
],
"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.