Stephanie Erin Behnam, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

21669 Issued in CA

Practice address

965 E Yosemite Ave
Ste #2
Manteca, CA 95336-5938

Phone

(209) 239-2528

Fax

(209) 239-8217

NPI assigned

May 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Erin Lindorf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1780944280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "408-795-3619",
            "fax_number": "408-287-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 E YOSEMITE AVE",
            "address_2": "STE #2",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365938",
            "telephone_number": "209-239-2528",
            "fax_number": "209-239-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNAM",
        "first_name": "STEPHANIE",
        "middle_name": "ERIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "21669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LINDORF",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriela Bautista Cornejo
• Edith Bautista
• Bbxcs LLC
• Athena Bechere, RD
• Jeffrey John Becker, D.D.S.
• Ciana Jean Special Belion
• Bruce Robert Bell, D.C.
• Vincent Jamal Bell
• Janna Lynn Belletto, PA-C
• Adam Stone Bellinger

• Adult Health Nurse Practitioner in Manteca, CA
• Providers in Manteca, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.