Organization Active NPI

Frank J. Stella, M.D., a Medical Corp.

  • Nephrology Physician
  • San Diego, CA
National Provider Identifier
1609998673
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G19078 Issued in CA
Legal business name
FRANK J. STELLA, M.D., A MEDICAL CORP.
Practice address
5555 Reservoir Dr
Ste 207
San Diego, CA 92120-5134
Phone
(619) 287-0732
Fax
(619) 287-7589
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Frank J. Stella, M.D.
Title
Physician
Phone
(619) 287-0732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X G19078 CA Primary

Addresses

Primary practice location

5555 Reservoir Dr
Ste 207
San Diego, CA 92120-5134

Mailing address

5555 Reservoir Dr
Ste 207
San Diego, CA 92120-5134
Phone (619) 287-0732

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1609998673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR",
            "address_2": "STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205134",
            "telephone_number": "619-287-0732",
            "fax_number": "619-287-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR",
            "address_2": "STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205134",
            "telephone_number": "619-287-0732",
            "fax_number": "619-287-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK J. STELLA, M.D., A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "STELLA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "619-287-0732",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G19078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.