Stephanie L Demara, M.D.
Individual provider Active NPI Anesthesiology Physician · Fortuna, CA
NPI 1003841735 · NPPES record last updated Oct 9, 2019
Key facts
- NPI
- 1003841735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 00G787720 (CA)
- Practice address
- 3300 Renner Dr
Fortuna, CA 95540-3120 - Phone
- (707) 725-3611
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coachella Valley Anesthesia a Professional Corporation
Practice addresses (Care Compare)
333 Mercy Ave
Merced, CA 95340-8319
Phone (209) 564-5023
Hospital & facility affiliations
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.37 of 100
- Quality
- 79.1
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050412001498 | CA | Practitioner - Anesthesiology | 2668419599 |
Reassigns benefits to 2 organizations Practice locations: Fortuna, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00G787720 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coachella Valley Anesthesia a Professional Corporation | Anesthesiology | Current |
Accepting new patients |
| Bear Creek Anesthesia Medical Group | Anesthesiology | Current |
Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
47120 Dune Palms Rd
Ste 111
La Quinta, CA 92253
Phone (760) 219-0155
44815 Fig Ave
Ste 100
Lancaster, CA 93534
Phone (661) 802-7978
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
2740 M St
Merced, CA 95340
Phone (209) 384-6444
44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411
44651 Village Ct
Ste 104
Palm Desert, CA 92260
Phone (760) 249-2222
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 00G787720 | CA | Yes |
Addresses
Primary practice location
3300 Renner Dr
Fortuna, CA 95540-3120
Mailing address
PO Box 660257
Birmingham, AL 35266-0257
Phone (205) 979-5882
Other providers in Fortuna, CA
- Britain Kalob Davis
- Brent C Dawson
- Imelda De Los Santos
- Danilo Santiago Dela Cruz
- Andrew Marcus Delgado
- Dickerson Solution
- Dionysos Durand Dickerson
- Vanessa Nicole Dickerson
- Patricia Dillon
- Stephanie S Dittmer
All providers in Fortuna, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.