Steven Bidwell, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57621 Issued in CA

Practice address

818 W Cameron Ave
West Covina, CA 91790-4136

Phone

(626) 337-6246

NPI assigned

Oct 9, 2018

Last updated

May 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mobile Physicians Medical Allied Group Inc

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1184199275
  NPD (past)

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590192000000",
    "number": "1356816029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-337-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W CAMERON AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917904136",
            "telephone_number": "626-337-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDWELL",
        "first_name": "STEVEN",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-09",
        "last_updated": "2020-05-23",
        "certification_date": "2020-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Better Health Home Care
• Beyond Thrive Therapy ABA
• BFF, LLC
• Shaileshkumar M Bhatt, D.D.S.
• Radha Bhupati Raju
• Van Eric Biglang-Awa
• Bill W. Tang, MD a Med Corp
• Bimlesh Garg MD, Inc
• Journee Sidney Binion
• Bio-Medical Applications of California, Inc. (FMC Dialysis Services of West Covina)

• Physician Assistant in West Covina, CA
• Providers in West Covina, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.