Sandra Stedinger MD Inc

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G45094 Issued in CA

Legal business name

SANDRA STEDINGER MD INC

Practice address

3405 Kenyon St
Suite 101
San Diego, CA 92110-5003

Phone

(619) 226-3376

Fax

(619) 226-3370

NPI assigned

Aug 31, 2005

Organization subpart

No

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

Authorized official

Name

Sandra L Stedinger, MD

Title

President

Phone

(619) 226-3376

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Chapter S Corporation Other name

Locations

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1699769067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105003",
            "telephone_number": "619-226-3376",
            "fax_number": "619-226-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 KENYON ST",
            "address_2": "SUITE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105003",
            "telephone_number": "619-226-3376",
            "fax_number": "619-226-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA STEDINGER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "STEDINGER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-226-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G45094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G450941",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE CORP",
            "identifier": "2488771",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapter S Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Sandoval
• Stephanie Rayline Sandoval
• Tessa Sandoval, RN
• Yesenia Sandoval
• Sandra M. Hayes, Medical Services, Inc.
• Maiah Nadiah Sandrali, LVN
• Andrea Sandri
• Angela Sandridge
• Sands-Smith
• Aimee Sands, OTR

• Dermatology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.