Stephen E Pituck, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G56100 Issued in CA

Practice address

14 Monarch Bay PLZ
#493
Dana Point, CA 92629-3424

Phone

(949) 499-4903

NPI assigned

Mar 26, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1093057168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MONARCH BAY PLZ",
            "address_2": "#493",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293424",
            "telephone_number": "949-499-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MONARCH BAY PLZ",
            "address_2": "#493",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293424",
            "telephone_number": "949-499-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITUCK",
        "first_name": "STEPHEN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G56100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Thomas Pepino, M.D.
• Kendall Perrine, ND
• William Loftin Petersen, O.D.
• Kelsey Pham, BCBA
• Mandy Pham
• Jean Derek Potvin, D.C.
• Bradley B Powell, DC
• Gabrielle Powers, L.C.S.W
• Prendiville Properties, Inc.
• Kevin J Prendiville, M.D.

• Psychiatry Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.