Individual provider Active NPI

Stephanie Kay Plowman, DPT, PA-C

  • Medical Physician Assistant
  • Ladera Ranch, CA
National Provider Identifier
1154593739
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
51344 Issued in CA
Practice address
800 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-1152
Phone
(949) 364-9112
Fax
(949) 364-9016
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 51344 CA Primary

Addresses

Primary practice location

800 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-1152

Mailing address

800 Corporate Dr
Suite 100
Ladera Ranch, CA 92694-1152
Phone (949) 364-9112

Other names 1

  • Stephanie Kay Chen Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address schen1132106@oc.providencedirect.org

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
I20150218000662 CA Practitioner - Physician Assistant 1557449022 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51344CAMDMarriage & Family Therapist
25599CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Aug 23, 2020 Accepting new patients
Providence Facey Medical Foundation CurrentSince Aug 23, 2020 Accepting new patients
Eastwest Physical Therapy Inc Past Accepting new patients
Med-Ease Pain, Inc. PastSince Apr 1, 2008 Accepting new patients

Locations

File 50670
Los Angeles, CA 90074

600 Newport Center Dr
Ste 150
Newport Beach, CA 92660
Phone (818) 847-6882

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

Interoperability endpoints

  • Direct secure messaging: schen1132106@oc.providencedirect.org

Organizations & group practices 4

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": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1154593739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941152",
            "telephone_number": "949-364-9112",
            "fax_number": "949-364-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926941152",
            "telephone_number": "949-364-9112",
            "fax_number": "949-364-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOWMAN",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "DPT, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "schen1132106@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Newport Center Dr Ste 150",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926606418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CHEN",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ladera Ranch, CA

Sources for this page

Verify at the official NPI Registry.