Provider Demographics
NPI:1083624050
Name:STINGHEN, DONATO JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:DONATO
Middle Name:JOSEPH
Last Name:STINGHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13851 E 14TH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94578-2627
Mailing Address - Country:US
Mailing Address - Phone:510-347-4700
Mailing Address - Fax:510-347-4712
Practice Address - Street 1:13851 E 14TH ST STE 202
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94578-2627
Practice Address - Country:US
Practice Address - Phone:510-347-4700
Practice Address - Fax:510-347-4712
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00G302260208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G302260Medicaid
CAA44337Medicare UPIN
CAAN246XMedicare PIN
CAAN246YMedicare PIN
CAZZZ99495ZMedicare PIN
CAAN246ZMedicare PIN
CAAN246WMedicare PIN
CAAN246VMedicare PIN
CA00G302260Medicaid
CAZZZ94434ZMedicare PIN
CAZZZ29924ZMedicare PIN