Individual provider Active NPI

Stella Popova, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1023108925
Registry record updated Sep 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A65599 Issued in CA
Practice address
7258 W Sunset Blvd
Los Angeles, CA 90046-3410
Phone
(323) 654-7716
Fax
(323) 654-7771
NPI assigned
Oct 13, 2006
Last updated
Sep 7, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A65599 CA Primary

Addresses

Primary practice location

7258 W Sunset Blvd
Los Angeles, CA 90046-3410

Mailing address

7256 W Sunset Blvd
Los Angeles, CA 90046-3410
Phone (323) 654-7716

Other identifiers 1

IdentifierTypeStateIssuer
00A655990MedicaidCA

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
I20061207000434 CA Practitioner - Internal Medicine 0941209506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7258 W Sunset Blvd
Los Angeles, CA 90046-3410
Phone (323) 654-7716

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65599CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Health Medical Group Inc Internal Medicine CurrentSince Oct 20, 2007 Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

7258 W Sunset Blvd
Los Angeles, CA 90046
Phone (323) 654-7716

7531 Santa Monica Blvd
Ste 100
West Hollywood, CA 90046
Phone (323) 654-7716

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

Hospital & facility affiliations 5

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378512000000",
    "number": "1023108925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7256 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463410",
            "telephone_number": "323-654-7716",
            "fax_number": "323-654-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7258 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463410",
            "telephone_number": "323-654-7716",
            "fax_number": "323-654-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPOVA",
        "first_name": "STELLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A655990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.