Organization Active NPI

Kristine Percy MD & Lauren Stearns MD, Inc.

  • Family Medicine Physician
  • Brea, CA
National Provider Identifier
1306971262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G77388 Issued in CA
Legal business name
KRISTINE PERCY MD & LAUREN STEARNS MD, INC.
Practice address
539 S Brea Blvd
1St Floor
Brea, CA 92821-5377
Phone
(714) 671-2936
Fax
(714) 671-2938
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kristine Sue Percy, M.D.NPI 1972697605
Title
Corporation Officer
Phone
(714) 671-2936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G77388 CA Primary

Addresses

Primary practice location

539 S Brea Blvd
1St Floor
Brea, CA 92821-5377

Mailing address

539 S Brea Blvd
1St Floor
Brea, CA 92821-5377
Phone (714) 671-2936

Other identifiers 2

IdentifierTypeStateIssuer
1205921756OtherCAINDIVIDUAL NPI NUMBER
1972697605OtherCAINDIVIDUAL NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041014001101 CA Part B Supplier - Clinic/Group Practice 8325008220 Receives reassigned benefits from 3 practitioners
Practice locations: Brea, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1038166Kristine Percy MD & Lauren Sterns MD539 S Brea Blvd 1St FL, Brea, CA 92821Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

Locations

539 S Brea Blvd
Brea, CA 92821
Phone (714) 671-2936

539 S Brea Blvd
Fl 1
Brea, CA 92821
Phone (714) 671-2936

539 S Brea Blvd
Ste 100
Brea, CA 92821
Phone (714) 671-2936

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306971262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 S BREA BLVD",
            "address_2": "1ST FLOOR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215377",
            "telephone_number": "714-671-2936",
            "fax_number": "714-671-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 S BREA BLVD",
            "address_2": "1ST FLOOR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928215377",
            "telephone_number": "714-671-2936",
            "fax_number": "714-671-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE PERCY MD & LAUREN STEARNS MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERCY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CORPORATION OFFICER",
        "authorized_official_telephone_number": "714-671-2936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G77388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1205921756",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1972697605",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.