Individual provider Active NPI

Fred John Vonstieff, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Concord, CA
National Provider Identifier
1790849685
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
G34928 Issued in CA
Practice address
2481 Pacheco St
Concord, CA 94520-2019
Phone
(925) 680-8933
Fax
(925) 680-7635
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X G34928 CA Primary

Addresses

Primary practice location

2481 Pacheco St
Concord, CA 94520-2019

Mailing address

2481 Pacheco St
Concord, CA 94520-2019
Phone (925) 680-8933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110406000234 CA Practitioner - Addiction MedicinePractitioner - Internal Medicine 4183808793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Addiction MedicineAlso: Internal Medicine
Education
Un of California, Irvine, College of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fred J Von Stieff MD a Professional CorporationGroup PAC ID 9931383544, 3 clinicians

Practice addresses (Care Compare)

2481 Pacheco St
Concord, CA 94520-2019
Phone (925) 680-8933

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34928CAMDClinical Psychologist
G34928CAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fred J Von Stieff MD a Professional Corporation Addiction Medicine CurrentSince Feb 11, 2011 Accepting new patients
John Muir Health Past Accepting new patients

Locations

2740 Grant St
Concord, CA 94520
Phone (800) 680-6555

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2481 Pacheco St
Concord, CA 94520
Phone (925) 680-0230

Interoperability endpoints

  • Direct secure messaging: fvonstieff229597@hpmg.direct-ci.net
  • Direct secure messaging: fvonstieff18396@ehr.johnmuirhealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1790849685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2481 PACHECO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202019",
            "telephone_number": "925-680-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2481 PACHECO ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202019",
            "telephone_number": "925-680-8933",
            "fax_number": "925-680-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONSTIEFF",
        "first_name": "FRED",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G34928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.