Mervyn R. Stein, M.D., a.P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

00G164240 Issued in CA

Legal business name

MERVYN R. STEIN, M.D., A.P.C.

Practice address

950 Northgate Dr
Suite 209
San Rafael, CA 94903-3414

Phone

(415) 479-2372

Fax

(415) 472-6225

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mervyn R Stein, M.D.

Title

President

Phone

(415) 479-2372

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295889608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 NORTHGATE DR",
            "address_2": "SUITE 209",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033414",
            "telephone_number": "415-479-2372",
            "fax_number": "415-472-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NORTHGATE DR",
            "address_2": "SUITE 209",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033414",
            "telephone_number": "415-479-2372",
            "fax_number": "415-472-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERVYN R. STEIN, M.D., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MERVYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-479-2372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "00G164240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G164240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helena Mercurio
• Andrew Merit, MA
• Leslie Maureen Merritt
• Marya Merritt, D.C.
• Kathleen Marie Mersereau, MFT
• Judith Ann Merwin, CRNA
• Deborah Meshel
• Linda Kathleen Metz, RN
• Frederick Thomas Meyer, MD
• Pamela Meyer, LMFT

• Ophthalmology Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.