Organization Active NPI

Jack H. Stehr, M.D., Professional Corporation

  • Orthopaedic Surgery Physician
  • Oakland, CA
National Provider Identifier
1427265198
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G23324 Issued in CA
Legal business name
JACK H. STEHR, M.D., PROFESSIONAL CORPORATION
Practice address
350 30TH St Ste 424
Oakland, CA 94609-3426
Phone
(510) 832-7750
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jack H Stehr, M.D.
Title
President
Phone
(510) 832-7750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G23324 CA Primary

Addresses

Primary practice location

350 30TH St Ste 424
Oakland, CA 94609-3426

Mailing address

350 30TH St Ste 424
Oakland, CA 94609-3426
Phone (510) 832-7750

Other identifiers 1

IdentifierTypeStateIssuer
00G233240MedicaidCA

National Provider Directory

National Provider Directory

Locations

350 30th St
Ste 424
Oakland, CA 94609
Phone (510) 452-9213

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427265198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 30TH ST STE 424",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093426",
            "telephone_number": "510-832-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 30TH ST STE 424",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093426",
            "telephone_number": "510-832-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK H. STEHR, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEHR",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-832-7750",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G23324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G233240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • 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.