Individual provider Active NPI

Stephanie Mayorga, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1083145544
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101242 Issued in CA
Practice address
2403 Keith St
San Francisco, CA 94124-3231
Phone
(628) 217-5500
Fax
(415) 822-3620
NPI assigned
Mar 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 101242 CA Primary

Addresses

Primary practice location

2403 Keith St
San Francisco, CA 94124-3231

Mailing address

79 Athens St
San Francisco, CA 94112-1601
Phone (415) 359-8894

Other practice location 1

1050 Wisconsin St
San Francisco, CA 94107-3328
Phone (415) 648-3022

Other practice location 2

1525 Silver Ave
San Francisco, CA 94134-1229
Phone (415) 657-1700

Other practice location 3

555 Stevenson St
San Francisco, CA 94103-1606
Phone (415) 355-7400

Other practice location 4

1490 Mason St
San Francisco, CA 94133-4222
Phone (415) 364-7600

Other names 1

  • Stephanie Mayorga Murphy Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405001953 CA Practitioner - Dentist 2062850399 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101242CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Community Health Centers Current Accepting new patients
Alameda Health System CurrentSince Jan 31, 2026 Accepting new patients
Santa Rosa Community Health Centers CurrentSince Feb 6, 2024 Accepting new patients
Alameda Health System CurrentSince Jan 31, 2026 Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

3569 Round Barn Cir
Santa Rosa, CA 95403

1300 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 303-3395

Organizations & group practices 9

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": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1083145544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ATHENS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121601",
            "telephone_number": "415-359-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 KEITH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941243231",
            "telephone_number": "628-217-5500",
            "fax_number": "415-822-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Wisconsin St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941073328",
            "country_code": "US",
            "telephone_number": "415-648-3022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Silver Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941341229",
            "country_code": "US",
            "telephone_number": "415-657-1700",
            "fax_number": "415-467-3320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Stevenson St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941031606",
            "country_code": "US",
            "telephone_number": "415-355-7400",
            "fax_number": "415-554-2919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1490 Mason St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941334222",
            "country_code": "US",
            "telephone_number": "415-364-7600",
            "fax_number": "415-291-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYORGA",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MURPHY",
            "middle_name": "MAYORGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.