Individual provider Active NPI

Benjamin Daniel Stobbe-Buelow, M.D., PH.D.

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
National Provider Identifier
1932498805
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
185 Berry St Ste 100
UCSF Department of Pathology and Lab Medicine
San Francisco, CA 94107-1758
Phone
(415) 353-7359
NPI assigned
Mar 31, 2011
Last updated
Apr 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

185 Berry St Ste 100
UCSF Department of Pathology and Lab Medicine
San Francisco, CA 94107-1758

Mailing address

185 Berry St Ste 100
UCSF Department of Pathology and Lab Medicine
San Francisco, CA 94107-1758
Phone (415) 353-7359

Other names 1

  • Benjamin Daniel Buelow Former name

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)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
124686CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1932498805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 BERRY ST STE 100",
            "address_2": "UCSF DEPARTMENT OF PATHOLOGY AND LAB MEDICINE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071758",
            "telephone_number": "415-353-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BERRY ST STE 100",
            "address_2": "UCSF DEPARTMENT OF PATHOLOGY AND LAB MEDICINE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071758",
            "telephone_number": "415-353-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBBE-BUELOW",
        "first_name": "BENJAMIN",
        "middle_name": "DANIEL",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENJAMIN",
            "last_name": "BUELOW",
            "middle_name": "DANIEL",
            "credential": "M.D., PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 22, 2016; 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.