Individual provider Active NPI

Stephen Feig, DO

  • Family Medicine Physician
  • Woodacre, CA
National Provider Identifier
1386769990
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-10433 Issued in FL
Practice address
86 Laurel Ave
Woodacre, CA 94973-1107
Phone
(415) 457-1350
NPI assigned
Mar 20, 2007
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2OA5645 CA
Family Medicine Physician 207Q00000X OS-10433 FL Primary

Addresses

Primary practice location

86 Laurel Ave
Woodacre, CA 94973-1107

Mailing address

640 S Washington Blvd Ste 150
Sarasota, FL 34236-7137
Phone (941) 552-4500

Other practice location 1

640 S Washington Blvd Ste 150
Sarasota, FL 34236-7137
Phone (941) 552-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 16, 2015 through Nov 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2OA5645CAMDFamily Medicine Physician
OS-10433FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1386769990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S WASHINGTON BLVD STE 150",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367137",
            "telephone_number": "941-552-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 LAUREL AVE",
            "city": "WOODACRE",
            "state": "CA",
            "postal_code": "949731107",
            "telephone_number": "415-457-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 S Washington Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342367137",
            "country_code": "US",
            "telephone_number": "941-552-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FEIG",
        "first_name": "STEPHEN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "2OA5645",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS-10433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodacre, CA

Sources for this page

Verify at the official NPI Registry.