Individual provider Active NPI

Stephen Martin Rosenthal, M.D.

  • Pediatric Endocrinology Physician
  • Salinas, CA
National Provider Identifier
1528081064
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
G42045 Issued in CA
Practice address
1441 Constitution Blvd
BLDG. 200, Suite 101
Salinas, CA 93906-3100
Phone
(831) 755-4124
Fax
(831) 759-6595
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G42045 CA
Pediatric Endocrinology Physician 2080P0205X G42045 CA Primary

Addresses

Primary practice location

1441 Constitution Blvd
BLDG. 200, Suite 101
Salinas, CA 93906-3100

Mailing address

559 E Alisal St
Suite 201
Salinas, CA 93905-2516
Phone (831) 769-1304

Other identifiers 1

IdentifierTypeStateIssuer
FHC70126FMedicaidCA

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
I20050930000462 CA Practitioner - Pediatric Medicine 4486689148 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42045CAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Pediatrics Associates Pediatrics CurrentSince May 18, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 5, 2020 Accepting new patients
University of California San Francisco CurrentSince May 18, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 5, 2020 Accepting new patients
University of California San Francisco Pediatrics CurrentSince May 18, 2015 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients

Locations

1441 Constitution Blvd
Ste 101
Salinas, CA 93906
Phone (831) 755-4124

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

3333 California St
Ste S110
San Francisco, CA 94118

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

533 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-7192

Interoperability endpoints

  • Direct secure messaging: srosenthal10434@direct-ucsfmedicalcenter.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1528081064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 E ALISAL ST",
            "address_2": "SUITE 201",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052516",
            "telephone_number": "831-769-1304",
            "fax_number": "831-757-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "address_2": "BLDG. 200, SUITE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4124",
            "fax_number": "831-759-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENTHAL",
        "first_name": "STEPHEN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G42045",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "G42045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70126F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.