Active NPI
Stephen Hamilton Mott, M.D.
- Neurodevelopmental Disabilities Physician
- Santa Ana, CA
National Provider Identifier
1295723450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurodevelopmental Disabilities Physician
- License
- C150674
- Practice address
- 2500 Redhill Ave Ste 100
Santa Ana, CA 92705-5518 - Phone
- (949) 267-0400
- Fax
- (949) 221-0004
- NPI assigned
- Oct 12, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 18892 | DC | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 14663 | NH | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | 14663 | NH | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | 18892 | DC | |
| Neurodevelopmental Disabilities Physician | 2084P0005X | C150674 | CA | Primary |
Addresses
Primary practice location
2500 Redhill Ave Ste 100
Santa Ana, CA 92705-5518
Mailing address
2500 Redhill Ave Ste 100
Santa Ana, CA 92705-5518
Phone (949) 267-0400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295723450 | Medicaid | CA | |
| 1016783 | Medicaid | VT | |
| 30209003 | Medicaid | NH |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18892 | DC | MD | Neurology with Special Qualifications in Child Neurology Physician |
| C150674 | CA | MD | Neurodevelopmental Disabilities Physician |
| 14663 | NH | MD | Neurodevelopmental Disabilities Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents Uci Dept of Pediatrics | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
19200 Jamboree Rd
Ste 1100
Irvine, CA 92612
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
2500 Red Hill Ave
Ste 100
Santa Ana, CA 92705
Phone (949) 267-0400
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Orange, CA
- NPI 1235187311
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588723200000",
"number": "1295723450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 REDHILL AVE STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055518",
"telephone_number": "949-267-0400",
"fax_number": "949-221-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 REDHILL AVE STE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927055518",
"telephone_number": "949-267-0400",
"fax_number": "949-221-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTT",
"first_name": "STEPHEN",
"middle_name": "HAMILTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2020-05-06",
"certification_date": "2020-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "DC",
"license": "18892",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NH",
"license": "14663",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "NH",
"license": "14663",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "DC",
"license": "18892",
"primary": false
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "CA",
"license": "C150674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1295723450",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1016783",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30209003",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.