Individual provider Active NPI

John S Stevenson, MD

  • Family Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1457388696
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A86501 Issued in CA
Practice address
Building 588 M/C 7002
Santa Barbara, CA 93106-7002
Phone
(805) 893-3378
Fax
(805) 893-4911
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A86501 CA Primary
Sports Medicine (Psychiatry & Neurology) Physician 2084S0010X A86501 CA

Addresses

Primary practice location

Building 588 M/C 7002
Santa Barbara, CA 93106-7002

Mailing address

Building 588 M/C 7002
Santa Barbara, CA 93106-7002
Phone (805) 893-3378

Other identifiers 14

IdentifierTypeStateIssuer
3951196OtherAETNA
1435770OtherCIGNA HEALTH PLAN
470391OtherTUFTS HEALTH PLAN
92687OtherFALLON COMM HEALTH PLAN
AA37555OtherHARVARD PILGRAM HLTH CARE
2104211OtherMEDICAID WELFARE
56300014OtherFIRST HEALTH
2104211MedicaidMA
3951196OtherUS HEALTHCARE
J29087QOtherBLUE CARE ELECT
384187OtherMVP HEALTH CARE
38797OtherCHILDRENS MED SEC PLAN
0103069OtherEVERCARE
38797OtherHEALTHY START

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000767 MA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Sports Medicine 2466478946 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86501CAMDSports Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients
Charles River Medical Associates PC CurrentSince Jan 1, 2017 Accepting new patients
Reliant Medical Group, Inc Family Medicine Past Accepting new patients
Queen Anne Nursing Home, Inc. Past Accepting new patients

Locations

171 Main St
Ste 203B
Ashland, MA 01721
Phone (508) 881-3029

600 Worcester Rd
Ste 504
Framingham, MA 01702
Phone (508) 875-0922

571 Union Ave
Framingham, MA 01702
Phone (508) 879-8556

162 Main St
Northborough, MA 01532
Phone (508) 393-1307

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1457388696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BUILDING 588 M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067002",
            "telephone_number": "805-893-3378",
            "fax_number": "805-893-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 588 M/C 7002",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931067002",
            "telephone_number": "805-893-3378",
            "fax_number": "805-893-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86501",
            "primary": true
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "CA",
            "license": "A86501",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3951196",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN",
            "identifier": "1435770",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "470391",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMM HEALTH PLAN",
            "identifier": "92687",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRAM HLTH CARE",
            "identifier": "AA37555",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WELFARE",
            "identifier": "2104211",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "56300014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104211",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "3951196",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE ELECT",
            "identifier": "J29087Q",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "384187",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MED SEC PLAN",
            "identifier": "38797",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "0103069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "38797",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.