Active NPI
Stephanie Zhang, DDS
- Dentist
- San Mateo, CA
National Provider Identifier
1750488615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47026
- Practice address
- 3455 Pacific Blvd, Ste 2
San Mateo, CA 94403-2140 - Phone
- (650) 574-2200
- Fax
- (650) 574-2204
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 47026 | CA | Primary |
Addresses
Primary practice location
3455 Pacific Blvd, Ste 2
San Mateo, CA 94403-2140
Mailing address
371 Darrell Rd
Hillsborough, CA 94010-5828
Phone (650) 574-2200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47026 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1750488615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "371 DARRELL RD",
"city": "HILLSBOROUGH",
"state": "CA",
"postal_code": "940105828",
"telephone_number": "650-574-2200",
"fax_number": "650-574-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 PACIFIC BLVD, STE 2",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944032140",
"telephone_number": "650-574-2200",
"fax_number": "650-574-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHANG",
"first_name": "STEPHANIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "47026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.