Individual provider Active NPI

Deina Inman Stewart, PAC

  • Physician Assistant
  • Pasadena, CA
National Provider Identifier
1154491074
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21425 Issued in CA
Practice address
1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone
(626) 404-6200
Fax
(626) 403-2580
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21425 CA Primary

Addresses

Primary practice location

1017 S Fair Oaks Ave
Pasadena, CA 91105-2621

Mailing address

1365 S. Grand Avenue
Glendora, CA 91740
Phone (626) 857-2850

Other practice location 1

1365 S. Grand Avenue
Glendora, CA 91740
Phone (626) 857-2850

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000554 CA Practitioner - Physician Assistant 1850308297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Facey Medical FoundationGroup PAC ID 3173436276, 324 clinicians

Practice addresses (Care Compare)

11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531

19950 Rinaldi St
Porter Ranch, CA 91326-4141
Phone (818) 403-2400

26357 McBean Pkwy
Valencia, CA 91355-4488
Phone (661) 222-2600

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 847-6049

503 S Buena Vista St
Suite 101
Burbank, CA 91505-4809
Phone (818) 869-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21425CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Oct 21, 2024 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 21, 2024 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Oct 25, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 8, 2011 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Oct 25, 2021 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 8, 2011 Accepting new patients
Budincich Chiropractic Clinic, Inc PastSince Sep 1, 1993 Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

1365 S Grand Ave
Glendora, CA 91740
Phone (626) 385-1456

File 50670
Los Angeles, CA 90074

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

11600 Indian Hills Rd
Mission Hills, CA 91345
Phone (818) 781-7097

11333 Sepulveda Blvd
Fl 2
Mission Hills, CA 91345
Phone (818) 869-7263

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

26357 McBean Pkwy
Valencia, CA 91355
Phone (661) 222-2600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1154491074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 S. GRAND AVENUE",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "91740",
            "telephone_number": "626-857-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052621",
            "telephone_number": "626-404-6200",
            "fax_number": "626-403-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1365 S. Grand Avenue",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "91740",
            "country_code": "US",
            "telephone_number": "626-857-2850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DEINA",
        "middle_name": "INMAN",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.