Individual provider Active NPI

Daniel William Feather Stern, MD

  • Student in an Organized Health Care Education/Training Program
  • Los Angeles, CA
National Provider Identifier
1285168740
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1200 North State Street
BLDG. D&T, Suite 3D321
Los Angeles, CA 90089
Phone
(323) 409-7257
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101264983 VA
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1200 North State Street
BLDG. D&T, Suite 3D321
Los Angeles, CA 90089

Mailing address

775 Walker SQ Apt 2C
Charlottesville, VA 22903-3468
Phone (571) 438-1070

Other practice location 1

22 S Greene St
Room N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

Other practice location 2

22 S Greene St
Room N3E09
Baltimore, MD 21201-1544
Phone (410) 328-6110

Other practice location 3

1090 Arnold Dr
Lr AFB, AR 72099
Phone (501) 987-7319

Other practice location 4

Unit 5020
Apo, AP 96319-5020
Phone (571) 438-1070

Other practice location 5

RAF Lakenheath 48 MDG/SGHC
Unit 5115
Apo, AE 09461-5115
Phone (163) 852-8124

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101264983VAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1285168740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 WALKER SQ APT 2C",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229033468",
            "telephone_number": "571-438-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NORTH STATE STREET",
            "address_2": "BLDG. D&T, SUITE 3D321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90089",
            "telephone_number": "323-409-7257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_2": "Room N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St",
            "address_2": "Room N3E09",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 Arnold Dr",
            "address_purpose": "LOCATION",
            "city": "Lr AFB",
            "state": "AR",
            "postal_code": "72099",
            "country_code": "US",
            "telephone_number": "501-987-7319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Unit 5020",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "963195020",
            "country_code": "US",
            "telephone_number": "571-438-1070",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "RAF Lakenheath 48 MDG/SGHC",
            "address_2": "Unit 5115",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "094615115",
            "country_code": "US",
            "telephone_number": "163-852-8124",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM FEATHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101264983",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.