Active NPI
Andrea Zatlin Stark, M.D.
- Anesthesiology Physician
- Danville, CA
National Provider Identifier
1992778757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A120203
- Practice address
- 1182 River Rock LN
Danville, CA 94526-4004 - Phone
- (480) 272-1060
- NPI assigned
- Feb 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34951 | AZ | |
| Anesthesiology Physician | 207L00000X | A120203 | CA | Primary |
Addresses
Primary practice location
1182 River Rock LN
Danville, CA 94526-4004
Mailing address
1182 River Rock LN
Danville, CA 94526-4004
Phone (480) 272-1060
Other names 1
- Dr. Andrea Zatlin
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of California, San Francisco School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20103 Lake Chabot Rd
Castro Valley, CA 94546-5305
Phone (510) 537-1234
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34951 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Anesthesia Associates Medical Group, Inc | Anesthesiology | Current | Accepting new patients |
Locations
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
Interoperability endpoints
- astark195090@hisp.ehr.sutterhealth.org
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Castro Valley, CA
- NPI 1487602256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330128000000",
"number": "1992778757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 RIVER ROCK LN",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264004",
"telephone_number": "480-272-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 RIVER ROCK LN",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264004",
"telephone_number": "480-272-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "ANDREA",
"middle_name": "ZATLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-10",
"last_updated": "2012-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "34951",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A120203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "ZATLIN",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.