Active NPI
Robert Lee Stephenson, M.D.
- Internal Medicine Physician
- Encinitas, CA
National Provider Identifier
1386642478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G65902
- Practice address
- 320 Santa Fe Dr
Suite 303
Encinitas, CA 92024-5138 - Phone
- (760) 943-6730
- Fax
- (760) 943-6733
- NPI assigned
- Jul 12, 2005
- Last updated
- Nov 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G65902 | CA | Primary |
Addresses
Primary practice location
320 Santa Fe Dr
Suite 303
Encinitas, CA 92024-5138
Mailing address
320 Santa Fe Dr
Suite 303
Encinitas, CA 92024-5138
Phone (760) 943-6730
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G65902 | Other | CA | STATE LICENSE |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120127000105 | CA | Practitioner - Internal Medicine | 6305013657 | Practice locations: Encinitas, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Cincinnati College of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
320 Santa Fe Dr
Suite 303
Encinitas, CA 92024-5140
Phone (760) 943-6730
Hospital & facility affiliations
- Accentcare Home Health of California, Inc
- Archer Health Inc
- Seaport Scripps Home Health
- Bridge Home Health
- Scripps Memorial Hospital - Encinitas
- Scripps Memorial Hospital la Jolla
- Glenbrook
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 11 |
| Removal of skin lesions | 114 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65902 | CA | MD | Marriage & Family Therapist |
| G65902 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| San Diego Dermatology and Cosmetic Surgery Medical Group, Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rstephenson28450@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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.
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Dermatology Physician
- San Diego, CA
- NPI 1447334396
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Diego, CA
- NPI 1376583617
-
dba Seaport Scripps Home Health
- Home Health Agency
- San Diego, CA
- NPI 1750906954
-
dba Scripps Memorial Hospital Encinitas
- General Acute Care Hospital
- Encinitas, CA
- NPI 1700829199
-
dba Scripps Memorial Hospital La Jolla
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1386642478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SANTA FE DR",
"address_2": "SUITE 303",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245138",
"telephone_number": "760-943-6730",
"fax_number": "760-943-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SANTA FE DR",
"address_2": "SUITE 303",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245138",
"telephone_number": "760-943-6730",
"fax_number": "760-943-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G65902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G65902",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.
- 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.