Individual provider Active NPI

Mark Geoffery Stein, M.D.

  • Diagnostic Radiology Physician
  • Santa Ana, CA
National Provider Identifier
1265478564
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A38805 Issued in CA
Practice address
1100 N Tustin Ave
BLDG. a
Santa Ana, CA 92705-3509
Phone
(714) 835-6055
Fax
(714) 285-9084
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A38805 CA
Diagnostic Radiology Physician 2085R0202X A38805 CA Primary
Diagnostic Ultrasound Physician 2085U0001X A38805 CA

Addresses

Primary practice location

1100 N Tustin Ave
BLDG. a
Santa Ana, CA 92705-3509

Mailing address

1100 N Tustin Ave
BLDG. a
Santa Ana, CA 92705-3509
Phone (714) 835-6055

Other identifiers 1

IdentifierTypeStateIssuer
00A388050MedicaidCA

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
I20050503001349 CA Practitioner - Diagnostic Radiology 4688573140 Reassigns benefits to 14 organizations
Practice locations: Van Nuys, CA

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
UC RegentsGroup PAC ID 3274446182, 105 clinicians
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

10101 Riverside Dr
Toluca Lake, CA 91602-2517
Phone (818) 762-2626

25800 Bob Hope Dr
Suite 255
Ranco Mirage, CA 92270-1739
Phone (760) 346-6239

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262-7015
Phone (760) 318-2980

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38805CAMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince May 5, 2012 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Oct 22, 2022 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 10, 2018 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 20, 2017 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 10, 2018 Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Sep 10, 2017 Accepting new patients
Radnet Medical Imaging-San Francisco Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Sep 10, 2017 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Oct 22, 2022 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Dec 20, 2017 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology PastSince Aug 30, 2017 Accepting new patients
University of California Irvine Past Accepting new patients
Beverly Radiology Medical Group Diagnostic Radiology Past Accepting new patients
University of California Irvine Past Accepting new patients
Santa Ana Tustin Radiology Medical Group Body Imaging Past Accepting new patients
Encompass Health Rehabilitation Hospital of Tustin, LLC Past Accepting new patients

Locations (25 of 55)

710 N Euclid St
Ste 102
Anaheim, CA 92801
Phone (714) 517-2099

947 S Anaheim Blvd
Ste 130
Anaheim, CA 92805
Phone (714) 758-9800

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

1500 S Douglass Rd
Ste 200
Anaheim, CA 92806

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

11190 Warner Ave
Ste 110
Fountain Vly, CA 92708
Phone (714) 431-0303

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

19066 Magnolia St
Huntington Beach, CA 92646
Phone (714) 378-2225

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

14150 Culver Dr
Ste 101
Irvine, CA 92604
Phone (949) 272-2083

16300 Sand Canyon Ave
Ste 102
Irvine, CA 92618
Phone (949) 753-0900

16300 Sand Canyon Ave
Ste 203
Irvine, CA 92618
Phone (949) 753-9090

23961 Calle de la Magdalena
Ste 130
Laguna Hills, CA 92653
Phone (949) 588-8700

27882 Forbes Rd
Ste 120
Laguna Niguel, CA 92677
Phone (949) 272-2200

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

Organizations & group practices 22

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.

View all 22

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1265478564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N TUSTIN AVE",
            "address_2": "BLDG. A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053509",
            "telephone_number": "714-835-6055",
            "fax_number": "714-285-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N TUSTIN AVE",
            "address_2": "BLDG. A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053509",
            "telephone_number": "714-835-6055",
            "fax_number": "714-285-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "MARK",
        "middle_name": "GEOFFERY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A38805",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A38805",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A38805",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A388050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.