Provider Demographics
NPI:1578434734
Name:STEPHENSON, JANEL M
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:M
Last Name:STEPHENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4075 PAPAZIAN WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-4380
Mailing Address - Country:US
Mailing Address - Phone:510-435-6337
Mailing Address - Fax:
Practice Address - Street 1:4075 PAPAZIAN WAY STE 102
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-4380
Practice Address - Country:US
Practice Address - Phone:510-435-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator