Organization Active NPI

Joseph B Stein, MD, Facc, Inc

  • Clinical Cardiac Electrophysiology Physician
  • San Diego, CA
National Provider Identifier
1285708628
Registry record updated Dec 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
G38065 Issued in CA
Legal business name
JOSEPH B STEIN, MD, FACC, INC
Practice address
4060 4TH Ave
Suite 205
San Diego, CA 92103-2116
Phone
(619) 296-3800
NPI assigned
Nov 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2009

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

Authorized official

Name
Dr. Joseph B Stein, M.D.
Title
President
Phone
(619) 296-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0001X G38065 CA Primary

Addresses

Primary practice location

4060 4TH Ave
Suite 205
San Diego, CA 92103-2116

Mailing address

4060 4TH Ave
Suite 205
San Diego, CA 92103-2116
Phone (619) 296-3800

Other identifiers 2

IdentifierTypeStateIssuer
00G380650MedicaidCA
00G380650OtherCABLUE SHIEL

National Provider Directory

National Provider Directory

Locations

4060 4th Ave
Ste 205
San Diego, CA 92103
Phone (619) 260-1076

NPI Registry JSON

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

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261699200000",
    "number": "1285708628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-296-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 4TH AVE",
            "address_2": "SUITE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-296-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH B STEIN, MD, FACC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-18",
        "last_updated": "2009-12-25",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-296-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G38065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G380650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIEL",
            "identifier": "00G380650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2009; 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.