Active NPI
Stephen F Osborn, MD
- Surgery Physician
- MTN View, CA
National Provider Identifier
1407928021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C038838
- Practice address
- 2500 Hospital Dr
15
MTN View, CA 94040 - Phone
- (650) 988-7100
- Fax
- (650) 988-7070
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C038838 | CA | Primary |
Addresses
Primary practice location
2500 Hospital Dr
15
MTN View, CA 94040
Mailing address
2500 Hospital Dr
15
MTN View, CA 94040
Phone (650) 988-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8427617 | Medicaid | CA |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C038838 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407928021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 HOSPITAL DR",
"address_2": "15",
"city": "MTN VIEW",
"state": "CA",
"postal_code": "94040",
"telephone_number": "650-988-7100",
"fax_number": "650-988-7070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HOSPITAL DR",
"address_2": "15",
"city": "MTN VIEW",
"state": "CA",
"postal_code": "94040",
"telephone_number": "650-988-7100",
"fax_number": "650-988-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "STEPHEN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C038838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8427617",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.