Individual provider Active NPI

Stephen Edwards, D.O.

  • Anesthesiology Physician
  • Camp Pendleton, CA
National Provider Identifier
1235586603
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
21098 Issued in CA
Practice address
200 Mercy Circle
Camp Pendleton, CA 92055-5191
Phone
(760) 719-3554
NPI assigned
May 16, 2016
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 21098 CA Primary

Addresses

Primary practice location

200 Mercy Circle
Camp Pendleton, CA 92055-5191

Mailing address

159 Mongrella Dr
Oceanside, CA 92058-7858
Phone (303) 718-6536

Other practice location 1

Walter Reed National Military Ctr
8901 Wisconsin Ave
Bethesda, MD 20889-0001
Phone (301) 295-9283

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
I20240104000300 CA Practitioner - Anesthesiology 1153772199 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of California Medical Group IncGroup PAC ID 3375456692, 37 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (442) 281-5000

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

4868 X St
Sacramento, CA 95817-2205

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Innovative Anesthesia Consultants PC Anesthesiology CurrentSince Nov 8, 2023 Accepting new patients
Anesthesia Consultants of California Medical Group Inc Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Palomar Anesthesia Partners Inc Anesthesiology CurrentSince Feb 1, 2026 Accepting new patients
Regents of the Univ of Ca CurrentSince Jun 18, 2025 Accepting new patients
Regents of the University of Ca Anesthesiology CurrentSince Jun 18, 2025 Accepting new patients
Equanimity Anesthesia Professional Corporation Anesthesiology CurrentSince Oct 22, 2024 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

Organizations & group practices 8

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 1

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": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1235586603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 MONGRELLA DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587858",
            "telephone_number": "303-718-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-719-3554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Walter Reed National Military Ctr",
            "address_2": "8901 Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890001",
            "country_code": "US",
            "telephone_number": "301-295-9283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "21098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Pendleton, CA

Sources for this page

Verify at the official NPI Registry.