Active NPI
Daniel Robert Stephenson, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- A93558
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- 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
Practice addresses (Care Compare)
5215 Torrance Blvd
Torrance, CA 90503-4009
Phone (310) 316-6190
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A93558 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Torrance Orthopaedic and Sports Medicine Group | Orthopaedic Surgery | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | 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
- 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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
dba CoastalOrtho
- Orthopaedic Surgery Physician
- Torrance, CA
- NPI 1104864131
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Psychiatric Hospital Unit
- San Pedro, CA
- NPI 1154349371
-
- Skilled Nursing Facility
- Torrance, CA
- NPI 1740268713
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Little Company of Mary Medical Center Torrance
- General Acute Care Hospital
- Torrance, CA
- NPI 1902844988
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.