NPIMap

Individual provider Active NPI

Kyle Bradley Stephens, D.O.

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1205204518
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A14217 Issued in CA
Practice address
2929 Loma Vista Rd Ste C
Ventura, CA 93003-2962
Phone
(805) 666-1606
Fax
(805) 244-0358
NPI assigned
Sep 3, 2015
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A14217 CA Primary

Addresses

Primary practice location

2929 Loma Vista Rd Ste C
Ventura, CA 93003-2962

Mailing address

2929 Loma Vista Rd Ste C
Ventura, CA 93003-2962
Phone (805) 666-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 1, 2026 through Jun 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3400 Data Dr
Rancho Cordova, CA 95670-7956

751 E Daily Dr
Suite 120
Camarillo, CA 93010-6004

PO Box
Suite 619115
Roseville, CA 95661-9115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions23
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14217CAMDFamily Medicine Physician
14217CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jun 1, 2018 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 1, 2018 Accepting new patients
Dignity Health Past Accepting new patients

Locations

751 E Daily Dr
Ste 120
Camarillo, CA 93010
Phone (805) 256-7810

1700 N Rose Ave
Ste 350
Oxnard, CA 93030
Phone (805) 485-7877

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

243 March St
Santa Paula, CA 93060
Phone (805) 525-6112

168 N Brent St
Ste 502
Ventura, CA 93003
Phone (805) 641-2000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1205204518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 LOMA VISTA RD STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032962",
            "telephone_number": "805-666-1606",
            "fax_number": "805-244-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 LOMA VISTA RD STE C",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032962",
            "telephone_number": "805-666-1606",
            "fax_number": "805-244-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "KYLE",
        "middle_name": "BRADLEY",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.