Individual provider Active NPI

Stephanie Jacquelyn Maroney, M.D.

  • Surgery Physician
  • Larkspur, CA
National Provider Identifier
1003106436
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A122712 Issued in CA
Practice address
5 Bon Air Rd Ste 101
Larkspur, CA 94939-1134
Phone
(415) 924-2515
Fax
(415) 924-2661
NPI assigned
Apr 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A122712 CA Primary
Surgery Physician 208600000X 281722 MA

Addresses

Primary practice location

5 Bon Air Rd Ste 101
Larkspur, CA 94939-1134

Mailing address

5 Bon Air Rd Ste 101
Larkspur, CA 94939-1134
Phone (415) 924-2515

Other practice location 1

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 924-2515

Other practice location 2

75 Rowland Way # 230
Novato, CA 94945-5037
Phone (415) 924-2515

Other names 1

  • Stephanie Humber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160602000710 CA Practitioner - General Surgery 1759671886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)13
Hernia repair (minimally invasive)14
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A122712CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Suburban Massachusetts Inc Surgery CurrentSince Dec 5, 2021 Accepting new patients
Regents Univ of California UCSF Surgery CurrentSince Jan 12, 2024 Accepting new patients
University of California San Francisco Past Accepting new patients
Newton-Wellesley Hospital Past Accepting new patients
Loma Linda University Children'S Hospital Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

5 Bon Air Rd
Ste 101
Larkspur, CA 94939
Phone (415) 924-1214

75 Rowland Way
#230
Novato, CA 94945
Phone (415) 924-2515

75 Rowland Way
Ste 230
Novato, CA 94945
Phone (415) 683-2988

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2000 Washington St
Ste 563
Newton, MA 02462
Phone (617) 219-1285

Interoperability endpoints

  • Direct secure messaging: smaroney332579@direct-ucsfmedicalcenter.org
  • Direct secure messaging: smaroney9050@direct.llu.edu

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1003106436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 101",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391134",
            "telephone_number": "415-924-2515",
            "fax_number": "415-924-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE 101",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391134",
            "telephone_number": "415-924-2515",
            "fax_number": "415-924-2661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Bon Air Rd",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "949041702",
            "country_code": "US",
            "telephone_number": "415-924-2515",
            "fax_number": "415-924-2661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Rowland Way # 230",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455037",
            "country_code": "US",
            "telephone_number": "415-924-2515",
            "fax_number": "415-924-2661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARONEY",
        "first_name": "STEPHANIE",
        "middle_name": "JACQUELYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A122712",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "281722",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HUMBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.