Individual provider Active NPI

Daniel Terah Stein, M.D.

  • Orthopaedic Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1205864477
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G53288 Issued in CA
Practice address
11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055
Phone
(714) 850-7300
Fax
(714) 850-7310
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G53288 CA Primary

Addresses

Primary practice location

11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055

Mailing address

11160 Warner Ave Ste 311
Fountain Valley, CA 92708-4055
Phone (714) 850-7300

Other identifiers 1

IdentifierTypeStateIssuer
00G532880MedicaidCA

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
I20050211000179 CA Practitioner - Orthopedic Surgery 0446201131 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53288CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
G53288CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Orthowest Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients

Locations

11160 Warner Ave
Ste 311
Fountain Vly, CA 92708
Phone (714) 850-7300

22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800

Organizations & group practices 4

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1205864477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 311",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084055",
            "telephone_number": "714-850-7300",
            "fax_number": "714-850-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 311",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084055",
            "telephone_number": "714-850-7300",
            "fax_number": "714-850-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "DANIEL",
        "middle_name": "TERAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G53288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G532880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.