Stephanie Kedhia Iem, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9702 Issued in CA

Practice address

701 E Grand Ave Ste 100
Escondido, CA 92025-4466

Phone

(760) 294-8898

Fax

(760) 294-8827

NPI assigned

Jun 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family Practice

Education

Touro Un College of Osteopathic Medicine, Vallejo, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: siem32396@sharphealthcare.direct-ci.com

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.

• Danicare Family Health, Inc.

  • General Practice Physician
  • Escondido, CA
  • NPI 1023273356
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1164684387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E GRAND AVE",
            "address_2": "STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254466",
            "telephone_number": "760-747-7512",
            "fax_number": "760-747-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E GRAND AVE STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254466",
            "telephone_number": "760-294-8898",
            "fax_number": "760-294-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IEM",
        "first_name": "STEPHANIE",
        "middle_name": "KEDHIA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-29",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanieiem@ieya.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "701 E Grand Ave Ste 100",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920254466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mohamed Ibrahim, MD
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• David M Illich, AUD, C.C.C.A.
• Imaging Consultants, Inc. (Women's Imaging Specialists of America)
• Immediate Family Medical Care (Industrial Family Medical Care)
• Immediate Family Medical Care (Industrial Family Medical Care)
• Inalternatives Pregnancy Care Clinic

• Family Medicine Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.