Susan Kathryn Stevens, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G56860 Issued in CA

Practice address

1101 Van Ness Ave FL 3
San Francisco, CA 94109-6919

Phone

(415) 600-0800

Fax

(415) 447-6335

NPI assigned

Jun 14, 2006

Last updated

Mar 19, 2021By the provider in NPPES

Sex

Female

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 2

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.

• California Pacific Advanced Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • San Francisco, CA
  • NPI 1912950676
  NPD (past)
• Healthy Steps Weight Loss Center Medical Corporation

  • Surgery Physician
  • Santa Rosa, CA
  • NPI 1225103369
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1073556098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6102",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949486102",
            "telephone_number": "415-884-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 VAN NESS AVE FL 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941096919",
            "telephone_number": "415-600-0800",
            "fax_number": "415-447-6335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5176 Hill Rd E",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954536300",
            "country_code": "US",
            "telephone_number": "707-262-5000",
            "fax_number": "415-209-1502",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Clay St Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151931",
            "country_code": "US",
            "telephone_number": "415-600-3143",
            "fax_number": "415-600-3123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Buchanan St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151925",
            "country_code": "US",
            "telephone_number": "415-600-3232",
            "fax_number": "415-885-8694",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3555 Cesar Chavez",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941104403",
            "country_code": "US",
            "telephone_number": "415-641-6685",
            "fax_number": "415-641-7595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SUSAN",
        "middle_name": "KATHRYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G56860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G568600",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300134152",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Stevens, CRNP
• Linda Marie Stevens
• Lydia Stevens, MA, MFT
• Richard W. Stevens, M.D.
• Shannon M. Stevens, MSW
• Tiffany Stevens, FNP-C
• Jessica Maurie Stevenson, ASW
• Laurie Stevenson
• Myra Robin Stevenson, MFT
• Sandra Stevenson, MA, LMFT

• Diagnostic Radiology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.