Individual provider Active NPI

Stefanie Jill Fightlin, DO

  • Family Medicine Physician
  • Mission Viejo, CA
National Provider Identifier
1386640746
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7879 Issued in CA
Practice address
26991 Crown Valley Pkwy
Mission Viejo, CA 92691-6528
Phone
(949) 582-5430
Fax
(949) 348-9513
NPI assigned
Jun 21, 2005
Last updated
Nov 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A7879 CA Primary

Addresses

Primary practice location

26991 Crown Valley Pkwy
Mission Viejo, CA 92691-6528

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

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
I20031209001131 CA Practitioner - Family Practice 7911803093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteopathic Physicians and Surgeons of Los Angeles, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centers for Family Medicine GPGroup PAC ID 9931143799, 87 clinicians

Practice addresses (Care Compare)

26991 Crown Valley Pkwy
Mission Viejo, CA 92691-6511
Phone (949) 582-5430

3460 Katella Ave
Los Alamitos, CA 90720-2334
Phone (562) 594-6599

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A7879CAMDFamily Medicine Physician
7879CAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Family Medicine GP Family Medicine CurrentSince Nov 1, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Talbert Medical Group, P.C. Family Medicine Past Accepting new patients

Locations

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

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

818 W Alondra Blvd
Compton, CA 90220
Phone (310) 537-1137

8311 Florence Ave
Downey, CA 90240
Phone (310) 923-4911

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

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

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

26922 Oso Pkwy
Ste 380
Mission Viejo, CA 92691
Phone (949) 582-5430

26991 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 393-5426

26991 Crown Valley Pkwy
Ste 100
Mission Viejo, CA 92691
Phone (949) 582-5430

1002 N Fairview St
Santa Ana, CA 92703
Phone (714) 332-1069

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sfightlin195414@westdirect.optum.com
  • Direct secure messaging: stefanie.fightlin.p33@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1386640746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26991 CROWN VALLEY PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916528",
            "telephone_number": "949-582-5430",
            "fax_number": "949-348-9513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGHTLIN",
        "first_name": "STEFANIE",
        "middle_name": "JILL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.