SANDRA STEDINGER MD INC (NPI# 1699769067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699769067 |
| Entity Type | Organization |
| Organization Name | SANDRA STEDINGER MD INC |
| Other Organization Name | CHAPTER S CORPORATION |
| Practice Address |
3405 Kenyon St Suite 101 San Diego CA 92110-5003 |
| Practice Telephone | 6192263376 |
| Practice Fax Number | 6192263370 |
| Mailing Telephone | 6192263376 |
| Mailing Fax Number | 6192263370 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SANDRA L STEDINGER (PRESIDENT) |
| Authorized Official Telephone | 6192263376 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G45094 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G450941 | 05 | |
| CA | SECRETARY OF STATE CORP | 2488771 | 01 |
| DEA | BSO832116 | 01 |
| Other Name | Type Code |
|---|---|
| Chapter S Corporation | Other Name - Individual/Organization |
| Street Address |
3405 KENYON ST SUITE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92110-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974755 | Elizabeth Strandell Saarni | Internal Medicine | 3405 Kenyon St, Ste 405, San Diego, CA 92110-5007 | 2005-07-05 |
| 1710429105 | Medical Support Los Angeles A Medical Corporation | Independent Medical Examiner | 3405 Kenyon St, Suite #101, San Diego, CA 92110-5003 | 2016-11-16 |
| 1346676491 | Anna Danilenko | Physical Therapist | 3405 Kenyon St, San Diego, CA 92110-5003 | 2013-09-20 |
| 1396096442 | Jillian Pacer | Physical Therapist | 3405 Kenyon St, Ste 212, San Diego, CA 92110-5003 | 2012-09-28 |
| 1750659389 | Marjolein Legge-beekman | Pharmacist | 3405 Kenyon St, Suite 107, San Diego, CA 92110-5003 | 2011-12-10 |
| 1407134521 | G.r. Paul Medical Group, Inc | General Practice | 3405 Kenyon St, Suite 101, San Diego, CA 92110-5003 | 2011-07-22 |
| 1619263639 | Rpn of California | Clinic/Center | 3405 Kenyon St, #202, San Diego, CA 92110-5003 | 2011-06-28 |
| 1427293547 | Midway Chiropractic | Chiropractor | 3405 Kenyon St, Suite 206, San Diego, CA 92110-5003 | 2008-12-03 |
| 1811176035 | Elizabeth S. Saarni, M.d., Inc. | Internal Medicine | 3405 Kenyon St, Suite 405, San Diego, CA 92110-5003 | 2007-10-25 |
| 1154516870 | Robert H. Masters Md, Inc. | Urology | 3405 Kenyon St, Suite 504, San Diego, CA 92110-5003 | 2007-09-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669021713 | Ruben Daniel Gutierrez | Marriage & Family Therapist | 4141 Pacific Coast Hwy, San Diego, CA 92110 | 2019-09-10 |
| 1548724081 | Denise Ellen Thompson | Counselor | 3255 Wings Street, San Diego, CA 92110 | 2019-01-29 |
| 1801378716 | Michelle Lisa Jean Crawford | Student in an Organized Health Care Education/Training Program | 3767 Central Avenue, San Diego, CA 92110 | 2018-09-06 |
| 1427539048 | Allison Turrell | Case Manager/Care Coordinator | 4930 Naples Street, San Diego, CA 92110 | 2018-08-22 |
| 1750872768 | Matthew Langworthy | Physical Therapist | 3405 Kenyon St Ste 212, San Diego, CA 92110 | 2018-05-24 |
| 1245748342 | The One Health Boutique, LLC | Chiropractor | 5350 Riley St, San Diego, CA 92110 | 2018-01-11 |
| 1437670155 | Monique A Fernandez | Counselor | 3132 Jefferson Street, San Diego, CA 92110 | 2017-07-03 |
| 1538510391 | Mayu Winters | Registered Nurse | 853 Rosecrans St, San Diego, CA 92110 | 2016-06-23 |
| 1376998864 | Briniti Ichull | Specialist | 3941 Kurtz St, San Diego, CA 92110 | 2016-05-03 |
| 1912352576 | Healthcare Services, Inc. | Substance Abuse Rehabilitation Facility | 3880 Rosecrans Street, San Diego, CA 92110 | 2016-05-02 |
| Find all providers in zip 92110 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399141 | Dermatology Specialists Inc | Dermatology | 4765 Carmel Mountain Rd Ste 201, San Diego, CA 92130-6657 | 2019-11-05 |
| 1306405998 | Mismo Dermatology Group Apc | Dermatology | 8898 Navajo Rd Ste C-349, San Diego, CA 92119-2141 | 2019-06-07 |
| 1609361740 | Seaver Soon Md Inc | Dermatology | 2044 W California St, San Diego, CA 92110-2121 | 2018-06-29 |
| 1700240249 | Alexandra Edelman | Dermatology | 3965 5th Ave Ste 200, San Diego, CA 92103-3107 | 2016-04-11 |
| 1033572391 | Lauren Metterle | Dermatology | 3020 Childrens Way # 5092, San Diego, CA 92123-4223 | 2016-04-03 |
| 1225493323 | Jeanette Jacknin | Dermatology | 12634 Carmel Country Rd, Suite 126, San Diego, CA 92130-3197 | 2015-12-16 |
| 1417330432 | Eugene Tachuk | Dermatology | 3740 Rosecrans St Ste C, San Diego, CA 92110-3126 | 2015-07-08 |
| 1508203563 | Monica Boen | Dermatology | 9339 Genesee Ave Ste 350, San Diego, CA 92121-2150 | 2013-05-31 |
| 1619311164 | David Otto Schairer | Dermatology | 8010 Frost St Ste 602, San Diego, CA 92123 | 2013-04-25 |
| 1295037760 | Susan Ann Kincaid | Dermatology | 1951 4th Ave Ste 202, San Diego, CA 92101-2374 | 2010-12-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.