Kevin Stephanoff, M.D., Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KEVIN STEPHANOFF, M.D., INC.

Practice address

23700 Camino del Sol
Torrance, CA 90505-5017

Phone

(310) 308-9014

NPI assigned

Jun 18, 2022

Organization subpart

No

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

Authorized official

Name

Kevin Stephanoff, MDNPI 1962907386

Title

President

Phone

(310) 308-9014

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Stephanoff, MD

  • Psychiatry Physician
  • Torrance, CA
  • NPI 1962907386
  Medicare reassignment Care Compare group NPD Authorized official
• Nathan Hieu Nguyen, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrance, CA
  • NPI 1801674957
  Medicare reassignment Care Compare group
• Esther U Okafor, FNP/PMHNP/DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrance, CA
  • NPI 1104073865
  Medicare reassignment Care Compare group
• Phillip Andrew Ostermann, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, CA
  • NPI 1689356305
  Medicare reassignment

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

{
    "created_epoch": "1655510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1003547373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23700 CAMINO DEL SOL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055017",
            "telephone_number": "310-308-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23700 CAMINO DEL SOL",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055017",
            "telephone_number": "310-308-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN STEPHANOFF, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-18",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "STEPHANOFF",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-308-9014",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962907386",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salvadore Kerkar, DC
• Jonathan Menasher Kermanshahchi
• Shaseana Kerr
• Kelly Kester
• Jarline Ann Ketola, PH.D.
• Angelicajewel Aguila Key, MA ED.
• Nancy Khachi, DDS
• Khaja R Ahmed M.D. a Professional Corporation
• Khaja R Ahmed MD
• Asad Uddin Khaja, MD

• Psychiatry Physician in Torrance, CA
• Providers in Torrance, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.