Provider Demographics
NPI:1336342385
Name:STONE, REBECCA JANE (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JANE
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5575 W LAS POSITAS BLVD STE 330
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-5801
Mailing Address - Country:US
Mailing Address - Phone:925-734-3333
Mailing Address - Fax:925-734-9294
Practice Address - Street 1:5575 W LAS POSITAS BLVD STE 330
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-5801
Practice Address - Country:US
Practice Address - Phone:925-734-3333
Practice Address - Fax:925-734-9294
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA112844207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BP1-0026460OtherINSTITUTIONAL PERMIT