Andrew James Stein M D

Primary specialty

SpecialistTaxonomy code 174400000X

License

G75352 Issued in CA

Legal business name

ANDREW JAMES STEIN M D

Practice address

13690 E 14TH St
Suite # 200
San Leandro, CA 94578-2582

Phone

(510) 297-0550

Fax

(510) 297-0558

NPI assigned

Jan 30, 2006

Last updated

Jul 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda D Cobb

Title

Office Supervisor/Biller

Phone

(510) 297-0550

Specialties & licenses 3

Addresses

Other identifiers 3

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1821069535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST",
            "address_2": "SUITE # 200",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782582",
            "telephone_number": "510-297-0550",
            "fax_number": "510-297-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST",
            "address_2": "SUITE # 200",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782582",
            "telephone_number": "510-297-0550",
            "fax_number": "510-297-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW JAMES STEIN M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR/BILLER",
        "authorized_official_telephone_number": "510-297-0550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G75352",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 2258",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 2257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECOSS OF CA PROVIDER #",
            "identifier": "00G753520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OF CA PROVIDER",
            "identifier": "ZZZ04834Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4407354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Andy Tran DDS & Associates
• Cynthia Angeles
• Judith Angeles, DMD
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• Specialist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.