Michael Bruce Stevens, MD, PHD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G0436338 Issued in CA

Practice address

2820 W Main St
Visalia, CA 93291-4331

Phone

(559) 625-8636

Fax

(559) 625-9941

NPI assigned

Mar 20, 2007

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

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.

• Millcreek Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Visalia, CA
  • NPI 1770906141
  NPD Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1457476079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914331",
            "telephone_number": "559-625-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914331",
            "telephone_number": "559-625-8636",
            "fax_number": "559-625-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MICHAEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G46338",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G0436338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Steinhauer
• Dina Stengel
• Stephen J. McAuliff, DDS, Inc.
• Kristina Marie Stephens, RADTI
• Erin Bowen Sterling, M.S., BCBA
• Julie Ellen Stevenson, CPHT
• Allyssa Chantae Stewart
• Caitlyn Denise Stewart
• Jennifer Stewart
• Kyle Stewart

• Plastic Surgery Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.