Individual provider Active NPI

Jeffrey A Sternberg, M.D.

  • Colon & Rectal Surgery Physician
  • San Francisco, CA
National Provider Identifier
1922001858
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G85776 Issued in CA
Practice address
2100 Webster St Ste 400
San Francisco, CA 94115-2378
Phone
(415) 417-3377
Fax
(855) 736-3488
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X G85776 CA Primary

Addresses

Primary practice location

2100 Webster St Ste 400
San Francisco, CA 94115-2378

Mailing address

2100 Webster St Ste 400
San Francisco, CA 94115-2378
Phone (415) 417-3377

Other practice location 1

3838 California St
Rm 616
San Francisco, CA 94118-1508
Phone (415) 668-0411

Other identifiers 1

IdentifierTypeStateIssuer
00G857760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000526 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 9638244866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2100 Webster St
Suite 400
San Francisco, CA 94115-2378
Phone (415) 417-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G85776CAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Sternberg Clinic Inc a Professional Corporation Colon & Rectal Surgery CurrentSince Oct 1, 2017 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

77 Van Ness Ave
Apt 302
San Francisco, CA 94102
Phone (415) 379-9015

77 Van Ness Ave
Apt 300
San Francisco, CA 94102
Phone (415) 821-8000

2100 Webster St
Ste 400
San Francisco, CA 94115
Phone (415) 417-3377

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18776/brand/1/csg/1/fhir/r4

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1922001858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152378",
            "telephone_number": "415-417-3377",
            "fax_number": "855-736-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 400",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152378",
            "telephone_number": "415-417-3377",
            "fax_number": "855-736-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3838 California St",
            "address_2": "Rm 616",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941181508",
            "country_code": "US",
            "telephone_number": "415-668-0411",
            "fax_number": "415-668-6352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERNBERG",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G85776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G857760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.