Jeffrey A Stewart, DO

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

85-2000467 Issued in CA

Practice address

7733 Gingerblossom Dr
Citrus Heights, CA 95621-1919

Phone

(916) 745-4664

Fax

(916) 745-4664

NPI assigned

Jul 18, 2022

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 Osteopathy

State licenses

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1104551720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 582165",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957580037",
            "telephone_number": "707-704-0357",
            "fax_number": "916-745-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 GINGERBLOSSOM DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211919",
            "telephone_number": "916-745-4664",
            "fax_number": "916-745-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "85-2000467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine J. Stephens, NP
• Fredrick Stephenson, M.A., M.F.T.
• Clarissa Stepney
• Steven C. Hammer, D.C. Professional Chiropractic Corp
• Abigail Jordan Stewart
• Tara Stice
• Sarah-Brooke Jessica Stiles, LCSW # 95317
• Stoneridge Care Home
• Chelsie Blue Strauss
• Kathryn Dawnine Strong

• Adult Care Home Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.