Active NPI
Selena Shu-Jen Steenbergen, O.D.
- Optometrist
- Cupertino, CA
National Provider Identifier
1871725960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 13798 TLG
- Practice address
- 10150 N Wolfe Rd
Cupertino, CA 95014-2508 - Phone
- (408) 446-9600
- NPI assigned
- Aug 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 13798 TLG | CA | Primary |
Addresses
Primary practice location
10150 N Wolfe Rd
Cupertino, CA 95014-2508
Mailing address
261 Fringe Tree Ter
Sunnyvale, CA 94086-6562
Phone (408) 497-5800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 13798 TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1871725960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 FRINGE TREE TER",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940866562",
"telephone_number": "408-497-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10150 N WOLFE RD",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950142508",
"telephone_number": "408-446-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEENBERGEN",
"first_name": "SELENA",
"middle_name": "SHU-JEN",
"name_prefix": "Mrs.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-21",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 13798 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.