Organization Active NPI

Earl L. Stern M.D., Inc

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1376626010
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A17519 Issued in CA
Legal business name
EARL L. STERN M.D., INC
Practice address
10 Melba Ave
San Francisco, CA 94132-1531
Phone
(415) 661-3434
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Dr. Earl L Stern, M.D.
Title
President
Phone
(415) 661-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X A17519 CA Primary

Addresses

Primary practice location

10 Melba Ave
San Francisco, CA 94132-1531

Mailing address

10 Melba Ave
San Francisco, CA 94132-1531
Phone (415) 661-3434

Other identifiers 1

IdentifierTypeStateIssuer
00A175190MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1376626010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MELBA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321531",
            "telephone_number": "415-661-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MELBA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321531",
            "telephone_number": "415-661-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL L. STERN M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-661-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A17519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A175190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.