Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295454635 Deactivated / Inactive NPI Male Practitioner

Stephen Alexander Henry

Driver • San Leandro, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Stephen Henry has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2022
NPI Deactivation Date March 24, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Stephen Henry was a registered Driver practicing in San Leandro, CA. Throughout an active medical career spanning 1 years, Stephen Henry provided care at the practice location at 2256 MARINA BLVD until profile deactivation on 2023-03-24.

Practice Location & Contact Primary Location

Practice Address

2256 Marina Blvd

San Leandro, CA 945773212

Telephone 6612400655
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in San Leandro, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
1 Specialists

Practicing in San Leandro, CA (785 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License CA B6905046

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 24, 2023

Record deactivated on March 24, 2023

NPI Profile Active August 26, 2022

NPI status registered as active in NPPES database

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Updated Practice Location August 26, 2022

Registered at 2256 MARINA BLVD, SAN LEANDRO, CA 945773212 (Tel: 6612400655)

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Updated Business Mailing Address August 26, 2022

Registered at 2256 MARINA BLVD, SAN LEANDRO, CA 945773212

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Provider Name / Credentials Updated August 26, 2022

Recorded as STEPHEN HENRY

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2022

Driver (License #B6905046 in CA)

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Initial NPI Registration & Enumeration August 26, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295454635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2022
Last Update: August 26, 2022
Deactivation Date: March 24, 2023

Mailing Address

2256 Marina Blvd

San Leandro, CA 945773212

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.