Individual provider Active NPI

Stephen Lewis Kinsey, M.D.

  • Anesthesiology Physician
  • Moraga, CA
National Provider Identifier
1710224134
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
GFE24369 Issued in CA
Practice address
135 Longfield PL
Moraga, CA 94556-2127
Phone
(925) 376-2225
Fax
(925) 376-2225
NPI assigned
Jan 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X GFE24369 CA Primary

Addresses

Primary practice location

135 Longfield PL
Moraga, CA 94556-2127

Mailing address

135 Longfield PL
Moraga, CA 94556-2127
Phone (925) 376-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
GFE24369CAMDAnesthesiology Physician
24369CAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1710224134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LONGFIELD PL",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945562127",
            "telephone_number": "925-376-2225",
            "fax_number": "925-376-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 LONGFIELD PL",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945562127",
            "telephone_number": "925-376-2225",
            "fax_number": "925-376-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "STEPHEN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "GFE24369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moraga, CA

Sources for this page

Verify at the official NPI Registry.