Active NPI
Stavroula Anastasia Otis, M.D.
- Hematology & Oncology Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A100358
- Practice address
- 363 S Main St Ste 485
Orange, CA 92868-3833 - Phone
- (714) 835-4800
- NPI assigned
- Mar 16, 2007
- Last updated
- Jan 23, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | A100358 | CA | Primary |
Addresses
Primary practice location
363 S Main St Ste 485
Orange, CA 92868-3833
Mailing address
363 S Main St Ste 485
Orange, CA 92868-3833
Phone (714) 835-4800
Other practice location 1
1401 N Tustin Ave Ste 220
Santa Ana, CA 92705-8689
Phone (714) 835-4800
Other names 1
- Dr. Stevie Ann Otis
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology
- Education
- University of Southern California Keck School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 N Tustin Ave
Suite 220
Santa Ana, CA 92705-8689
Phone (714) 835-4800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.03 of 100
- Quality
- 70.78
- Promoting interoperability
- 96
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100358 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
| A100358 | CA | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Cancer and Blood Disorders | Hematology & Oncology | Current | Accepting new patients |
| Onoclogy Network of Orange County a Medical Group Inc | Hematology & Oncology | Past | Accepting new patients |
Locations
363 S Main St
#485
Orange, CA 92868
Phone (714) 835-4800
363 S Main St
Ste 485
Orange, CA 92868
Phone (714) 835-4800
1401 N Tustin Ave
Ste 220
Santa Ana, CA 92705
Phone (714) 543-6020
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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 CCBD
- Hematology & Oncology Physician
- Orange, CA
- NPI 1083132625
-
- Hematology & Oncology Physician
- Orange, CA
- NPI 1053402933
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence at Home with Compassus Home Health, Orange County
- Home Health Agency
- Anaheim, CA
- NPI 1588486716
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1912982216
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Orange, CA
- NPI 1558575746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1477677557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 S MAIN ST STE 485",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683833",
"telephone_number": "714-835-4800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 S MAIN ST STE 485",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683833",
"telephone_number": "714-835-4800"
}
],
"practiceLocations": [
{
"address_1": "1401 N Tustin Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927058689",
"country_code": "US",
"telephone_number": "714-835-4800",
"fax_number": "714-835-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTIS",
"first_name": "STAVROULA",
"middle_name": "ANASTASIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A100358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVIE",
"last_name": "OTIS",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.