Individual provider Active NPI

Debra Lee Stewart, D.O.

  • Obstetrics & Gynecology Physician
  • Bakersfield, CA
National Provider Identifier
1083689244
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A7174 Issued in CA
Practice address
625 34TH St Ste 100
Bakersfield, CA 93301-2307
Phone
(833) 678-2781
Fax
(661) 800-4318
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A7174 CA Primary

Addresses

Primary practice location

625 34TH St Ste 100
Bakersfield, CA 93301-2307

Mailing address

625 34TH St Ste 100
Bakersfield, CA 93301-2307
Phone (833) 678-2781

Other practice location 1

625 34th St Ste 200
Bakersfield, CA 93301-2307
Phone (833) 678-2781

Other identifiers 1

IdentifierTypeStateIssuer
00AX71740MedicaidCA

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
I20031112000343 CA Practitioner - Obstetrics/Gynecology 0345153557 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Feb 24, 2018 Accepting new patients
Clinica Sierra Vista CurrentSince Dec 13, 2019 Accepting new patients
Clinica Sierra Vista CurrentSince Dec 13, 2019 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Locations

1305 Bear Mountain Blvd
Arvin, CA 93203
Phone (661) 854-3131

625 34th St
Ste 100
Bakersfield, CA 93301

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

301 Brundage Ln
Bakersfield, CA 93304
Phone (661) 323-6086

625 34th St
Ste 200
Bakersfield, CA 93301

400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000

625 34th St
Ste 100200
Bakersfield, CA 93301
Phone (661) 328-4284

Interoperability endpoints

  • Direct secure messaging: dstewart19226@clinicasierravista.direct-ci.com

Organizations & group practices 6

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1083689244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012307",
            "telephone_number": "833-678-2781",
            "fax_number": "661-368-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 34TH ST STE 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012307",
            "telephone_number": "833-678-2781",
            "fax_number": "661-800-4318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 34th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933012307",
            "country_code": "US",
            "telephone_number": "833-678-2781",
            "fax_number": "661-368-0618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A7174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX71740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.