Active NPI
Stephanie Elise Cone, MD
- Pediatrics Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A123929
- Practice address
- 4060 Fairmount Ave
Pediatrics Department
San Diego, CA 92105 - Phone
- (619) 255-9154
- Fax
- (619) 795-9847
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 67851 | AZ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | A123929 | CA | Primary |
Addresses
Primary practice location
4060 Fairmount Ave
Pediatrics Department
San Diego, CA 92105
Mailing address
4060 Fairmount Ave
San Diego, CA 92105-1608
Phone (619) 280-4213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109509 | Other | THE AMERICAN BOARD OF PEDIATRICS |
Other names 1
- Stephanie Elise Hartz
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67851 | AZ | MD | Pediatrics Physician |
| A123929 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic | Past | Accepting new patients |
Locations
165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347
217 Highland Ave
National City, CA 91950
Phone (619) 280-4213
4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155
Interoperability endpoints
- scone80907@scrippshlth.medalliesdirect.net
- stephanie.cone.p1@direct.lamaestra.nextgenshare.com
Organizations & group practices 4
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 La Maestra Community Health Centers
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1306929443
-
dba La Maestra Community Health Centers
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1568209773
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
dba La Maestra Community Health Center
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1336324904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1437444858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 FAIRMOUNT AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051608",
"telephone_number": "619-280-4213",
"fax_number": "619-795-9847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FAIRMOUNT AVE",
"address_2": "PEDIATRICS DEPARTMENT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92105",
"telephone_number": "619-255-9154",
"fax_number": "619-795-9847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONE",
"first_name": "STEPHANIE",
"middle_name": "ELISE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2023-02-03",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "67851",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A123929",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE AMERICAN BOARD OF PEDIATRICS",
"identifier": "109509",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "HARTZ",
"middle_name": "ELISE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.