Individual provider Active NPI

Gregory Allen Stevens, PA-C

  • Surgical Physician Assistant
  • Bakersfield, CA
National Provider Identifier
1063752269
Registry record updated Feb 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA22850 Issued in CA
Practice address
2501 H St
Bakersfield, CA 93301-2801
Phone
(661) 327-2500
Fax
(661) 327-7090
NPI assigned
Feb 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA22850 CA Primary

Addresses

Primary practice location

2501 H St
Bakersfield, CA 93301-2801

Mailing address

2501 H St
Bakersfield, CA 93301-2801
Phone (661) 327-2500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000062 CA Practitioner - Physician Assistant 1557503323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hullander and Mozingo LPGroup PAC ID 3971543752, 9 clinicians

Practice addresses (Care Compare)

2901 Sillect Ave
Suite 200
Bakersfield, CA 93308-6373
Phone (661) 401-6150

Hospital & facility affiliations

  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA22850CAMDSurgical Physician Assistant
22850CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hullander and Mozingo LP CurrentSince Feb 7, 2018 Accepting new patients
Arroyo Grande Surgical Institute, LLC PastSince Jul 17, 2022 Accepting new patients

Locations

8844 Morro Rd
Atascadero, CA 93422
Phone (805) 329-6262

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

536 E Arrellaga St
Ste 104
Santa Barbara, CA 93103
Phone 80556303631511

Interoperability endpoints

  • Direct secure messaging: greg.stevens.1@22602.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22602/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

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": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1063752269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012801",
            "telephone_number": "661-327-2500",
            "fax_number": "661-327-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012801",
            "telephone_number": "661-327-2500",
            "fax_number": "661-327-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA22850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.