Mathew W Stephens, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95026509 Issued in CA

Practice address

1920 California St Ste a
Redding, CA 96001-1953

Phone

(530) 247-7070

Fax

(530) 247-7246

NPI assigned

Aug 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• California Family Medical Group Inc

  • Family Medicine Physician
  • Redding, CA
  • NPI 1275001075
  NPD

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1487438529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 WASATCH DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012968",
            "telephone_number": "219-929-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CALIFORNIA ST STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011953",
            "telephone_number": "530-247-7070",
            "fax_number": "530-247-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MATHEW",
        "middle_name": "W",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95026509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara L Stein, COUNSELOR CAS
• Michelle Lynn Stelt
• Kevin Charles Stemple
• Stephen Casey MD Inc
• Alison Jolie Stephens, O.T.
• Michael Stephens, MFT
• Rachel Nicole Stephens, CRNA
• Roy J Stephens Sr.
• Steps to Tomorrow
• Sterling Hatteras LLC

• All providers in Redding, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.