Individual provider Active NPI

Stephen J Carney, M.D.

  • Family Medicine Physician
  • Burlingame, CA
National Provider Identifier
1356451488
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G61092 Issued in CA
Practice address
1860 El Camino Real
Ste 236
Burlingame, CA 94010-3111
Phone
(650) 651-7112
Fax
(650) 689-5271
NPI assigned
Aug 30, 2006
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G61092 CA Primary

Addresses

Primary practice location

1860 El Camino Real
Ste 236
Burlingame, CA 94010-3111

Mailing address

1860 El Camino Real
Ste 236
Burlingame, CA 94010-3111
Phone (650) 651-7112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050303000552 CA Practitioner - Internal MedicinePractitioner - Family Practice 1153375076 Practice locations: Burlingame, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G61092CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Thai MD, a Professional Corporation CurrentSince Apr 16, 2024 Accepting new patients

Locations

1720 El Camino Real
Ste 135
Burlingame, CA 94010
Phone (650) 270-7117

Interoperability endpoints

  • Direct secure messaging: scarney45885@hisp.ehr.sutterhealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1356451488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL",
            "address_2": "STE 236",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103111",
            "telephone_number": "650-651-7112",
            "fax_number": "650-689-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 EL CAMINO REAL",
            "address_2": "STE 236",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103111",
            "telephone_number": "650-651-7112",
            "fax_number": "650-689-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G61092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.