Individual provider Active NPI

Stephen Erik Hemperly, D.O.

  • Dermatology Physician
  • San Diego, CA
National Provider Identifier
1013277045
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14658 Issued in CA
Practice address
4060 Fourth Ave Ste 415
San Diego, CA 92103
Phone
(619) 298-9809
Fax
(619) 298-9823
NPI assigned
May 24, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 14658 CA Primary

Addresses

Primary practice location

4060 Fourth Ave Ste 415
San Diego, CA 92103

Mailing address

2285 Corporate Cir
Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763

Other practice location 1

1259 S Cedar Crest Blvd
Suite100
Allentown, PA 18103-6372
Phone (610) 437-4134 ext. 139

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
I20160802002501 CA Practitioner - Dermatology 5698912707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

477 N El Camino Real
Suite D308
Encinitas, CA 92024-1370
Phone (760) 436-2300

9095 Rio San Diego Dr
Suite 300
San Diego, CA 92108-1699
Phone (619) 298-9809

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision81
Removal of skin lesions838
Skin biopsy279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14658CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc Dermatology CurrentSince Aug 1, 2016 Accepting new patients
Advanced Dermatology Associates, LTD. Dermatology Past Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients

Locations

6010 Hidden Valley Rd
Ste 120
Carlsbad, CA 92011
Phone (760) 448-4484

477 N El Camino Real
Ste D308
Encinitas, CA 92024
Phone (760) 436-2300

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

4060 4th Ave
Ste 415
San Diego, CA 92103
Phone (619) 298-9809

9095 Rio San Diego Dr
Ste 300
San Diego, CA 92108
Phone (619) 298-9809

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1013277045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 CORPORATE CIR",
            "address_2": "STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747759",
            "telephone_number": "702-360-2763",
            "fax_number": "949-783-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE STE 415",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-298-9809",
            "fax_number": "619-298-9823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1259 S Cedar Crest Blvd",
            "address_2": "Suite100",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036372",
            "country_code": "US",
            "telephone_number": "610-437-4134 x139",
            "fax_number": "610-437-2118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEMPERLY",
        "first_name": "STEPHEN",
        "middle_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "14658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.