Individual provider Active NPI

Aaron David Stavinoha, M.D.

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1417093550
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A121011 Issued in CA
Practice address
34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098
Phone
(858) 577-9861
Fax
(858) 577-9965
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A121011 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
Nmcsd
San Diego, CA 92134-1098

Mailing address

1409 Dentro de Lomas
Bonsall, CA 92003-6811
Phone (760) 390-8695

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
I20170809002525 CA Practitioner - Emergency Medicine 8729104013 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Em Alliance California ApcGroup PAC ID 1951749894, 68 clinicians

Practice addresses (Care Compare)

2601 E Chapman Ave
Orange, CA 92869-3206
Phone (714) 633-0011

36485 Inland Valley Dr
Wildomar, CA 92595-9681
Phone (951) 677-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Em Alliance California, Apc Emergency Medicine CurrentSince Mar 18, 2024 Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Jul 1, 2017 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Apr 1, 2021 Accepting new patients
Seven Star Hospital Associates Inc. Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Apr 15, 2022 Accepting new patients
Corona Regional Emergency Medical Associates Inc Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

L4421
Columbus, OH 43260

Organizations & group practices 6

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 2

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1417093550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 DENTRO DE LOMAS",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920036811",
            "telephone_number": "760-390-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "address_2": "NMCSD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "858-577-9861",
            "fax_number": "858-577-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVINOHA",
        "first_name": "AARON",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A121011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.