NPIMap

Individual provider Active NPI

Stephen Pine, M.D.

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
National Provider Identifier
1356352108
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C33483 Issued in CA
Practice address
4618 Fountain Ave
Los Angeles, CA 90029-1977
Phone
(323) 669-4346
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C33483 CA Primary

Addresses

Primary practice location

4618 Fountain Ave
Los Angeles, CA 90029-1977

Mailing address

950 S Grand Ave FL 2
Los Angeles, CA 90015-3999
Phone (323) 669-4346

Other practice location 1

637 Lucas Ave
suite 205
Los Angeles, CA 90017-1912
Phone (818) 489-9602

Other practice location 2

150 N Reno St
Los Angeles, CA 90026-4656
Phone (213) 380-7298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000739 CA Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Gynecological Oncology 8022055672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gynecological Oncology
Education
Chicago College of Medicine and Surgery, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Wound Specialists IncGroup PAC ID 4284123118, 2 clinicians

Practice addresses (Care Compare)

Northridge, CA 91324
Phone (818) 562-0307

14649 Victory Blvd
Suite 22
Van Nuys, CA 91411-4101
Phone (818) 796-5558

Hospital & facility affiliations

  • Jax Home Health, Inc Home health agency, Glendale, CA, CCN 757189
  • Infinity Healthcare Solutions, Inc Home health agency, Van Nuys, CA, CCN 053196
  • Healthy People Home Care, Inc. Home health agency, Granada Hills, CA, CCN 559776
  • Caring One Home Health, Inc Home health agency, Tarzana, CA, CCN 559514
  • Five Star Quality Healthcare, Inc Home health agency, Glendale, CA, CCN 059346
  • Wind Breeze Hospice, Inc Hospice, Woodland Hills, CA, CCN B31645
  • Pacific Coast Hospice Inc Hospice, Chatsworth, CA, CCN B31732
  • Gentle Touch Hospice Care, Inc Hospice, North Hollywood, CA, CCN 751621
  • Bright Universe Hospice Care, Inc Hospice, Tarzana, CA, CCN B31614
  • Oxford Hospice Care, Inc Hospice, Montclair, CA, CCN 921553

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C33483CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Wound Specialists Inc CurrentSince Oct 1, 2025 Accepting new patients
Clinica Medica Pacoima CurrentSince Feb 24, 2025 Accepting new patients
Frizzy Oaks Medical Group Inc CurrentSince Nov 22, 2023 Accepting new patients
Clinica de Los Angeles Medical Group Past Accepting new patients
Stephen Pine PastSince Jan 1, 1990 Accepting new patients
Children'S Hospital Los Angeles Mental Health Past Accepting new patients

Locations

8949 Reseda Blvd
Ste 221
Northridge, CA 91324
Phone (747) 224-0215

13630 Van Nuys Blvd
Ste 107
Pacoima, CA 91331
Phone (323) 455-3595

14545 Friar St
Ste 217
Van Nuys, CA 91411
Phone (818) 489-9602

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valley Heart Hospice Care Inc.Chatsworth, CA, CCN A01701 Hospice Contracted Managing Employee (100%)
5% Or Greater Indirect Ownership Interest (100%)
W-2 Managing Employee		 Jan 7, 2026
Feb 25, 2026
Feb 25, 2026
Holly Trinity Hospice IncNorth Hollywood, CA, CCN A01640 Hospice Corporate Director Apr 21, 2023
Serene Hospice LLCChatsworth, CA, CCN A01658 Hospice Contracted Managing Employee (100%) Jan 7, 2026
Dew Senior HealthBurbank, CA, CCN B31737 Hospice W-2 Managing Employee Nov 1, 2025
Longevity Hospice Care Services IncGlendale, CA, CCN 921691 Hospice Contracted Managing Employee Dec 1, 2018

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1356352108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S GRAND AVE FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153999",
            "telephone_number": "323-669-4346",
            "fax_number": "323-635-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4618 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291977",
            "telephone_number": "323-669-4346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Lucas Ave",
            "address_2": "suite 205",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900171912",
            "country_code": "US",
            "telephone_number": "818-489-9602",
            "fax_number": "818-718-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 N Reno St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900264656",
            "country_code": "US",
            "telephone_number": "213-380-7298",
            "fax_number": "213-385-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINE",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C33483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.