Individual provider Active NPI

Jamie Rose Stern, DC

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1891905766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29006 Issued in CA
Practice address
505 Beach St Ste 110
San Francisco, CA 94133-1131
Phone
(415) 771-7071
Fax
(415) 771-7073
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29006 CA Primary

Addresses

Primary practice location

505 Beach St Ste 110
San Francisco, CA 94133-1131

Mailing address

505 Beach St Ste 110
San Francisco, CA 94133-1131
Phone (415) 771-7071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100506001017 CA Practitioner - Chiropractic 2668526807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

130 S Frances St
Sunnyvale, CA 94086-6132
Phone (415) 308-7636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29006CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie R Stern Chiropractic Corporation Chiropractor CurrentSince Oct 22, 2011 Accepting new patients
Meakim & Stern Family Spinal Care Chiropractor PastSince Feb 25, 2010 Accepting new patients

Locations

130 S Frances St
Sunnyvale, CA 94086
Phone (408) 523-1212

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891905766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 BEACH ST STE 110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941331131",
            "telephone_number": "415-771-7071",
            "fax_number": "415-771-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BEACH ST STE 110",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941331131",
            "telephone_number": "415-771-7071",
            "fax_number": "415-771-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "JAMIE",
        "middle_name": "ROSE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.