Individual provider Active NPI

Stephen R Davenport, M.D.

  • Orthopaedic Surgery Physician
  • Hemet, CA
National Provider Identifier
1174619720
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G171708 Issued in CA
Practice address
41889 Florida Ave
Hemet, CA 92544-5042
Phone
(519) 652-8700
Fax
(888) 827-0236
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 20809 OK
Orthopaedic Surgery Physician 207X00000X G171708 CA Primary

Addresses

Primary practice location

41889 Florida Ave
Hemet, CA 92544-5042

Mailing address

41889 Florida Ave
Hemet, CA 92544-5042
Phone (951) 652-8700

Other practice location 1

29826 Haun Rd Ste 200
Menifee, CA 92586-6547
Phone (951) 652-8700

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210622003834 CA Practitioner - Orthopedic Surgery 7719913367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Yale University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Star Medical Group, Inc.Group PAC ID 4789091026, 14 clinicians

Practice addresses (Care Compare)

41889 Florida Ave
Hemet, CA 92544-5042
Phone (951) 652-8700

Hospital & facility affiliations

  • Salus Home Health Home health agency, Irvine, CA, CCN 058237
  • Menifee Global Medical Center Hospital, Sun City, CA, CCN 050684
  • Hemet Global Medical Center Hospital, Hemet, CA, CCN 050390

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G171708CAMDOrthopaedic Surgery Physician
20809OKMDOrthopaedic Surgery Physician

Practice roles (14 of 15)

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine Orthopaedic Surgery CurrentSince Jan 19, 2022 Accepting new patients
Golden State Orthopedics & Spine Orthopaedic Surgery CurrentSince Jan 19, 2022 Accepting new patients
Seven Star Medical Group Inc. CurrentSince Sep 19, 2022 Accepting new patients
Golden State Orthopedics & Spine Orthopaedic Surgery Current Accepting new patients
Seven Star Medical Group Inc. Orthopaedic Surgery CurrentSince Sep 19, 2022 Accepting new patients
Seven Star Medical Group Inc. Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Golden State Orthopedics & Spine Orthopaedic Surgery Past Accepting new patients
Southwestern Medical Center, LLC Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Seven Star Medical Group Inc. Past Accepting new patients

Locations

4000 Dublin Blvd
Ste 100
Dublin, CA 94568
Phone (800) 943-8099

41889 State Highway 74
Hemet, CA 92544
Phone (951) 652-8700

3315 Broadway
Oakland, CA 94611
Phone (510) 486-2300

200 Porter Dr
Ste 101
San Ramon, CA 94583
Phone (925) 838-1440

29826 Haun Rd
Ste 200
Sun City, CA 92586
Phone (951) 237-8304

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: stephen.davenport.p5@direct.kmsm.nextgenshare.com
  • Direct secure messaging: stephen.davenport.p1@direct.muirortho.nextgenshare.com
  • Direct secure messaging: stephen.davenport.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1174619720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41889 FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445042",
            "telephone_number": "951-652-8700",
            "fax_number": "888-827-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41889 FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925445042",
            "telephone_number": "519-652-8700",
            "fax_number": "888-827-0236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29826 Haun Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866547",
            "country_code": "US",
            "telephone_number": "951-652-8700",
            "fax_number": "888-827-0236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "20809",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G171708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.