Mark Stilphen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G28153 Issued in CA

Practice address

1250 Peach St Ste B
San Luis Obispo, CA 93401-2869

Phone

(805) 543-4043

Fax

(805) 543-7640

NPI assigned

Apr 20, 2007

Last updated

May 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pacific Central Coast Health Centers

  dba Dignity Health Women's Center - Southwest

  • Community Health Clinic/Center
  • Bakersfield, CA
  • NPI 1720752355
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1063630630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E. CHURCH STREET",
            "address_2": "ATTENTION: MEDICAL STAFF OFFICE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-739-3954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PEACH ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012869",
            "telephone_number": "805-543-4043",
            "fax_number": "805-543-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILPHEN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G28153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB218691",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Stewart
• Robert G Stewart
• Estelle Steynberg, PHARMACIST
• Nicholas Stice
• Natalia Martinez Stilleson
• Misty Lynne Stingley, M.A. CCC-SLP
• Amy Joyce Stith
• Molly Stoddard
• Jordan Stokes
• Matthew Christopher Stone

• Internal Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.