Active NPI
Thomas T Streeter, M.D.
- Obstetrics & Gynecology Physician
- Stockton, CA
National Provider Identifier
1811962145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A23450
- Practice address
- 2509 W March LN
Suite 250
Stockton, CA 95207-8252 - Phone
- (209) 957-1000
- Fax
- (209) 957-1001
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A23450 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | A23450 | CA | Primary |
Addresses
Primary practice location
2509 W March LN
Suite 250
Stockton, CA 95207-8252
Mailing address
P.O. Box 1090
Lodi, CA 95241-1090
Phone (209) 334-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A234500 | Medicaid | CA | |
| 1386636165 | Other | CA | GROUP NPI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A23450 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1811962145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1090",
"city": "LODI",
"state": "CA",
"postal_code": "952411090",
"telephone_number": "209-334-1800",
"fax_number": "209-334-1430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 W MARCH LN",
"address_2": "SUITE 250",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952078252",
"telephone_number": "209-957-1000",
"fax_number": "209-957-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREETER",
"first_name": "THOMAS",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A23450",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A23450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A234500",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1386636165",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.