Individual provider Active NPI

Stephen F Signer, MD CM

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1194771956
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G51749 Issued in CA
Practice address
11770 Bernardo Plaza Court
Suite 370
San Diego, CA 92128-2426
Phone
(858) 673-3360
Fax
(858) 592-0884
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X G51749 CA
Psychiatry Physician 2084P0800X G51749 CA Primary

Addresses

Primary practice location

11770 Bernardo Plaza Court
Suite 370
San Diego, CA 92128-2426

Mailing address

PO Box 609001
San Diego, CA 92160-9001
Phone (619) 528-4600

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
I20071015000386 CA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 1254427776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mark David Levine MD Professional CorporationGroup PAC ID 0143478305, 165 clinicians

Practice addresses (Care Compare)

15373 Innovation Dr
Suite 390
San Diego, CA 92128-3429
Phone (619) 528-4600

6010 Hidden Valley Rd
Suite 115
Carlsbad, CA 92011-4219
Phone (855) 501-1004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51749CAMDPeriodontist
G51749CAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine M.D. Professional Corporation Psychiatry CurrentSince Aug 17, 2022 Accepting new patients
Mark David Levine, MD Burlingame PC Psychiatry CurrentSince Aug 17, 2022 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 7, 2017 Accepting new patients
Jewish Family Service of San Diego PastSince Dec 12, 2006 Accepting new patients

Locations

6010 Hidden Valley Rd
Ste 115
Carlsbad, CA 92011
Phone (760) 797-8494

12865 Pointe del Mar Way
Ste 250
Del Mar, CA 92014
Phone (858) 259-0599

4700 Spring St
Ste 220
La Mesa, CA 91942
Phone (619) 667-3380

1550 Hotel Cir N
Ste 450
San Diego, CA 92108
Phone (619) 692-1581

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

11770 Bernardo Plaza Ct
Ste 370
San Diego, CA 92128
Phone (858) 673-3360

15373 Innovation Dr
Ste 390
San Diego, CA 92128
Phone (858) 673-3360

277 Rancheros Dr
Ste 301
San Marcos, CA 92069
Phone (760) 471-4073

Interoperability endpoints

  • Direct secure messaging: stephen.signer.p1@direct.pcsd.nextgenshare.com

Organizations & group practices 5

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1194771956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609001",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921609001",
            "telephone_number": "619-528-4600",
            "fax_number": "619-528-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 BERNARDO PLAZA COURT",
            "address_2": "SUITE 370",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282426",
            "telephone_number": "858-673-3360",
            "fax_number": "858-592-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGNER",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "MD CM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "G51749",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G51749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.