Active NPI
Daniel William Feather Stern, MD
- Student in an Organized Health Care Education/Training Program
- Los Angeles, CA
National Provider Identifier
1285168740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101264983 | VA | MD | General 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.