Active NPI
Christopher B Stephenson, M.D.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- La Mesa, CA
National Provider Identifier
1255444261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- G48928
- Practice address
- 7862 El Cajon Blvd
La Mesa, CA 91941-3625 - Phone
- (619) 644-6405
- Fax
- (619) 644-6495
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G48928 | CA | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | G48928 | CA | Primary |
Addresses
Primary practice location
7862 El Cajon Blvd
La Mesa, CA 91941-3625
Mailing address
7862 El Cajon Blvd
La Mesa, CA 91941-3625
Phone (619) 644-6405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G489280 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48928 | CA | MD | Ophthalmology Physician |
| 48928 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1255444261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7862 EL CAJON BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919413625",
"telephone_number": "619-644-6405",
"fax_number": "619-644-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7862 EL CAJON BLVD",
"city": "LA MESA",
"state": "CA",
"postal_code": "919413625",
"telephone_number": "619-644-6405",
"fax_number": "619-644-6495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "CHRISTOPHER",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G48928",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "CA",
"license": "G48928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G489280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
- Stephanie Cao, O.D., Inc. (Grossmont Vision Center Optometry)
- Stephanie Young Consultants, Inc
- Stephen B Earle, DDS
- Stephen L. Chan , D.M.D , Inc. (SmileHaven Dental Center)
- Roy O. Stephens, DDS
- Stepping Higher, Inc.
- Randall Wayne Stettler, D.D.S.
- Steven G. Peterson, O.D., Inc.
- Steven R Allsing MD Inc
- Claire Stevens, LEP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.