Stephen Gugenheim, M.D.

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

G51162 Issued in CA

Practice address

3230 Beard Rd
Suite 2
Napa, CA 94558-3673

Phone

(707) 224-7400

Fax

(707) 224-7413

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Providence Medical Foundation

  • General Practice Physician
  • Diamond Bar, CA
  • NPI 1285890624
  NPD

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1174501340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 BEARD RD",
            "address_2": "SUITE 2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583673",
            "telephone_number": "707-224-7400",
            "fax_number": "707-224-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 BEARD RD",
            "address_2": "SUITE 2",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583673",
            "telephone_number": "707-224-7400",
            "fax_number": "707-224-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGENHEIM",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "L7739",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "G51162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgugenheim1657753@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1100 Trancas St Ste 210",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945582909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Myla Guadiz
• Gwendolyn Jean Guck, B.S.N
• Giovanna Guerra Ramirez
• Jessica Guerra
• Camila Guevara
• Ariana Lashae Guillory
• Nicholas P Gularte, DO
• Gunnell, M.D., Inc
• Manuela Gurrola
• Gurvinderjit S Bhullar DDS Inc

• All providers in Napa, CA
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.