Organization Active NPI

Sharp Rees-Stealy Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • San Diego, CA
National Provider Identifier
1831409705
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHARP REES-STEALY MEDICAL GROUP INC
Practice address
12710 Carmel Country Rd
San Diego, CA 92130-2153
Phone
(619) 446-1646
Fax
(858) 636-2032
NPI assigned
Oct 13, 2010
Last updated
Jul 23, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
SHARP REES-STEALY MEDICAL GROUP, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Dr. Alan J Bier, M.D.
Title
President
Phone
(858) 262-6666

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

12710 Carmel Country Rd
San Diego, CA 92130-2153

Mailing address

PO Box 939087
San Diego, CA 92193-9087
Phone (858) 262-6344

Other identifiers 1

IdentifierTypeStateIssuer
GR002172DMedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0907519Sharp Rees Stealy Medical Group-12710 Carmel Country Road, San Diego, CA 92130Provider-performed microscopyMar 9, 2028

National Provider Directory

National Provider Directory
Part of
Sharp Rees-Stealy Medical Group Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5651 Copley Dr
Ste A
San Diego, CA 92111
Phone (858) 262-6109

12710 Carmel Country Rd
San Diego, CA 92130
Phone (858) 499-2708

NPI Registry JSON

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1831409705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939087",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921939087",
            "telephone_number": "858-262-6344",
            "fax_number": "858-636-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 CARMEL COUNTRY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302153",
            "telephone_number": "619-446-1646",
            "fax_number": "858-636-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP REES-STEALY MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARP REES-STEALY MEDICAL GROUP, INC",
        "enumeration_date": "2010-10-13",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "BIER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-262-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR002172D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.