Active NPI
Joseph B Stein, MD, Facc, Inc
- Clinical Cardiac Electrophysiology Physician
- San Diego, CA
National Provider Identifier
1285708628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- G38065
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G380650 | Medicaid | CA | |
| 00G380650 | Other | CA | BLUE SHIEL |
National Provider Directory
National Provider DirectoryLocations
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.