Stephen Edward Welter, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G37927 Issued in CA

Practice address

100 Thorndale Drive
Medical Clinic
San Rafael, CA 94903

Phone

(415) 492-2410

Fax

(415) 499-8395

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Regents Univ of California UCSF

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1124439807
  NPD
• Colin Hamblin, a Professional Medical Corporation

  • Family Medicine Physician
  • Point Reyes Station, CA
  • NPI 1649664087
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1801906136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SUTRO CT",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949472809",
            "telephone_number": "415-309-1096",
            "fax_number": "415-728-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 THORNDALE DRIVE",
            "address_2": "MEDICAL CLINIC",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-492-2410",
            "fax_number": "415-499-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELTER",
        "first_name": "STEPHEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G37927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G379270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ona Weizmann, PH.D.
• Barbara Jeanne Weldon, DC
• Wellspring Psychotherapy Center
• Tiarre Diana Welsh, MS., MFTI
• Barbara Welter, M.S.
• Hui-Shan A. Wen, DO
• Lauren Foley Wenderoth, RD
• Gina Wermuth, M.A., CCC-SLP
• West Bay Urgent Care Associates Inc a Medical Corporation
• West Coast Posttrauma Retreat

• Internal Medicine Physician in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.