Provider Demographics
NPI:1922001858
Name:STERNBERG, JEFFREY A (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:A
Last Name:STERNBERG
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 1:2100 WEBSTER ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2378
Mailing Address - Country:US
Mailing Address - Phone:415-417-3377
Mailing Address - Fax:855-736-3418
Practice Address - Street 1:2100 WEBSTER ST STE 400
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2378
Practice Address - Country:US
Practice Address - Phone:415-417-3377
Practice Address - Fax:855-736-3488
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG85776208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G857760Medicaid
CAYYY32939YMedicare ID - Type Unspecified
CAH20086Medicare UPIN