Active NPI
Stephanie Anne Reif, P.A
- Physician Assistant
- San Pablo, CA
National Provider Identifier
1679668206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13011
- Practice address
- 2000 Vale Road
San Pablo, CA 94806 - Phone
- (510) 235-7000
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13011 | CA | Primary |
Addresses
Primary practice location
2000 Vale Road
San Pablo, CA 94806
Mailing address
2100 Powell Street
Ste 900
Emeryville, CA 94608
Phone (510) 350-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1679668206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL STREET",
"address_2": "STE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "94608",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 VALE ROAD",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-235-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIF",
"first_name": "STEPHANIE",
"middle_name": "ANNE",
"credential": "P.A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.