Stephen Ira Stark, M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G60200 Issued in CA

Legal business name

STEPHEN IRA STARK, M.D., INC

Practice address

2825 J St
Suite 235
Sacramento, CA 95816-4300

Phone

(916) 446-3777

Fax

(916) 446-3788

NPI assigned

Jul 8, 2009

Organization subpart

No

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

Authorized official

Name

Catherine L Patrick

Title

Cpa

Phone

(916) 920-1604

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1902035181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 J ST",
            "address_2": "SUITE 235",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164300",
            "telephone_number": "916-446-3777",
            "fax_number": "916-446-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 J ST",
            "address_2": "SUITE 235",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164300",
            "telephone_number": "916-446-3777",
            "fax_number": "916-446-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN IRA STARK, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CPA",
        "authorized_official_telephone_number": "916-920-1604"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G60200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G602000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Merin M Stephen, M.D.

• Specialist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.