Organization Active NPI

Michael a. Stein DPM

  • Podiatrist
  • San Leandro, CA
National Provider Identifier
1679633630
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E29050 Issued in CA
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

Updated by the provider on Oct 9, 2014

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
P00096962OtherCARAILROAD MEDICARE
000E29051MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.