Individual provider Active NPI

Daniel Robert Stephenson, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Torrance, CA
National Provider Identifier
1245454826
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A93558 Issued in CA
Practice address
5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009
Phone
(310) 316-6190
Fax
(310) 540-7362
NPI assigned
Apr 13, 2007
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A93558 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A93558 CA Primary

Addresses

Primary practice location

5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009

Mailing address

5215 Torrance Blvd Ste 210
Torrance, CA 90503-4009
Phone (310) 316-6190

Other practice location 1

2200 E Maple Ave
El Segundo, CA 90245-6507
Phone (310) 316-6190

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address damezola@coastalorthoca.com Direct

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
I20080229000659 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 9638253578 Reassigns benefits to 2 organizations
Practice locations: Torrance, CA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Southern California Keck School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

5215 Torrance Blvd
Torrance, CA 90503-4009
Phone (310) 316-6190

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)24
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93558CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2023 Accepting new patients
Torrance Orthopaedic and Sports Medicine Group Orthopaedic Surgery CurrentSince Sep 1, 2015 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2023 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

2200 E Maple Ave
El Segundo, CA 90245
Phone (310) 316-6190

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

23456 Hawthorne Blvd
Ste 300
Torrance, CA 90505
Phone (310) 316-6190

5215 Torrance Blvd
Torrance, CA 90503
Phone (310) 316-6190

5215 Torrance Blvd
Ste 210
Torrance, CA 90503
Phone (310) 316-6190

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dstephenson212394@direct.cshs.org

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 2

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1245454826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 TORRANCE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034009",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 TORRANCE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034009",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Maple Ave",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902456507",
            "country_code": "US",
            "telephone_number": "310-316-6190",
            "fax_number": "310-540-7362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "DANIEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A93558",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A93558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "damezola@coastalorthoca.com",
            "affiliation": "N",
            "endpointDescription": "employer email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23456 Hawthorne Blvd",
            "address_2": "Ste 300",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905054716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.