Individual provider Active NPI

Stephen Louis Nuccion, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Torrance, CA
National Provider Identifier
1427165703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A68856 Issued in CA
Practice address
23560 Crenshaw Blvd
Suite 102
Torrance, CA 90505-5233
Phone
(310) 784-2355
Fax
(310) 517-1817
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A68856 CA Primary

Addresses

Primary practice location

23560 Crenshaw Blvd
Suite 102
Torrance, CA 90505-5233

Mailing address

23560 Crenshaw Blvd
Suite 102
Torrance, CA 90505-5233
Phone (310) 784-2355

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ02606ZOtherCABLUE SHIELD ZZ NUMBER

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
I20041220000357 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 3375500523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
University of Southern California Keck School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

23550 Hawthorne Blvd
Suite 120
Torrance, CA 90505-4767
Phone (310) 517-1216

Hospital & facility affiliations

  • Home Health Care Dynasty Home health agency, Sherman Oaks, CA, CCN 058446
  • Grandcare Home Health Services Home health agency, Pasadena, CA, CCN 058277
  • Care 1St Health Services Home health agency, Sherman Oaks, CA, CCN 553108
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)21
Upper limb (arm) arthroscopy (minimally invasive joint repair)82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68856CAMDPharmacist
A68856CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Apr 1, 2017 Accepting new patients
Allan M. Delman, M. D. a Medical Corporation Past Accepting new patients
William C. Kim, MD Inc Past Accepting new patients
Orthopaedic Specialties Associates Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

705 Pier Ave
Ste B
Hermosa Beach, CA 90254
Phone (310) 257-7298

705 Pier Ave
#B
Hermosa Beach, CA 90254
Phone (310) 784-2355

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23550 Hawthorne Blvd
Ste 120
Torrance, CA 90505
Phone (310) 517-1216

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

23560 Crenshaw Blvd
Ste 102
Torrance, CA 90505
Phone (310) 784-2355

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 4

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427165703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23560 CRENSHAW BLVD",
            "address_2": "SUITE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055233",
            "telephone_number": "310-784-2355",
            "fax_number": "310-517-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23560 CRENSHAW BLVD",
            "address_2": "SUITE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055233",
            "telephone_number": "310-784-2355",
            "fax_number": "310-517-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCCION",
        "first_name": "STEPHEN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A68856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ZZ NUMBER",
            "identifier": "ZZZ02606Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.