Active NPI
Michael a. Stein DPM
- Podiatrist
- San Leandro, CA
National Provider Identifier
1679633630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E29050
- Legal business name
- MICHAEL A. STEIN DPM
- Practice address
- 1300 Bancroft Ave
103
San Leandro, CA 94577-5147 - Phone
- (510) 483-3390
- Fax
- (510) 394-6402
- NPI assigned
- Dec 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Pagano
- Title
- Acct Rep
- Phone
- (925) 978-2738
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E29050 | CA | Primary |
Addresses
Primary practice location
1300 Bancroft Ave
103
San Leandro, CA 94577-5147
Mailing address
1300 Bancroft Ave
103
San Leandro, CA 94577-5147
Phone (510) 483-3390
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00096962 | Other | CA | RAILROAD MEDICARE |
| 000E29051 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
15047 Los Gatos Blvd
Ste 100
Los Gatos, CA 95032
Phone (408) 356-2774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412812800000",
"number": "1679633630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 BANCROFT AVE",
"address_2": "103",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775147",
"telephone_number": "510-483-3390",
"fax_number": "510-394-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BANCROFT AVE",
"address_2": "103",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775147",
"telephone_number": "510-483-3390",
"fax_number": "510-394-6402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL A. STEIN DPM",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-11",
"last_updated": "2014-10-09",
"status": "A",
"authorized_official_last_name": "PAGANO",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "ACCT REP",
"authorized_official_telephone_number": "925-978-2738"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E29050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00096962",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E29051",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.