Individual provider Active NPI

Richard Lee Stennes, M.D.

  • Emergency Medicine Physician
  • La Jolla, CA
National Provider Identifier
1194793919
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C33379 Issued in CA
Practice address
2533 Calle del Oro
La Jolla, CA 92037-2005
Phone
(858) 459-4750
Fax
(858) 454-9345
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C33379 CA Primary

Addresses

Primary practice location

2533 Calle del Oro
La Jolla, CA 92037-2005

Mailing address

2533 Calle del Oro
La Jolla, CA 92037-2005
Phone (858) 459-4750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20100809001109 MN Practitioner - Emergency Medicine 2163555350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph'S Area Health Services Emergency Medicine Current Accepting new patients
Unity Family Healthcare Past Accepting new patients

Locations

3314 Solutions Ctr
Chicago, IL 60677

600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311

Organizations & group practices 2

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194793919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 CALLE DEL ORO",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372005",
            "telephone_number": "858-459-4750",
            "fax_number": "858-454-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 CALLE DEL ORO",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920372005",
            "telephone_number": "858-459-4750",
            "fax_number": "858-454-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENNES",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "C33379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.