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Stephen Etheredge, MD
NPI 1770694101 · Vascular Surgery Physician · Oakland, CA
Stephen Etheredge, MD is a Vascular Surgery Physician provider in Oakland, CA (NPI 1770694101).
Provider details
- NPI number
- 1770694101
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C38647 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
365 Hawthorne Ave
Ste 103
Oakland, CA 94609-3107
Phone: (510) 832-6131
Street-level locationGet directions
Mailing address
365 Hawthorne Ave
Oakland, CA 94609-3107
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2008-05-21
Frequently asked questions
- What is Stephen Etheredge's NPI number?
- Stephen Etheredge's National Provider Identifier (NPI) is 1770694101, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Etheredge's specialty?
- Stephen Etheredge is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Etheredge located?
- Stephen Etheredge's practice location on file with NPPES is 365 Hawthorne Ave, Oakland, CA 94609-3107.
- What is Stephen Etheredge's phone number?
- The practice phone number listed in the NPPES registry for Stephen Etheredge is (510) 832-6131.
- Is Stephen Etheredge's NPI active?
- Yes — Stephen Etheredge's NPI (1770694101) is active in the NPPES registry as of the last update on 2008-05-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.