NPIMap

Individual provider Active NPI

Dennis Stolpner, M.D.

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1497018782
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A156847 Issued in CA
Practice address
1200 N. Tustin Ave
Suite 130
Santa Ana, CA 92705-3501
Phone
(657) 600-9077
Fax
(657) 600-9076
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 156847 CA
General Practice Physician 208D00000X A156847 CA Primary

Addresses

Primary practice location

1200 N. Tustin Ave
Suite 130
Santa Ana, CA 92705-3501

Mailing address

2171 S. El Camino Real
Suite 104
Oceanside, CA 92054-6269
Phone (760) 754-5663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190423000612 CA Practitioner - General PracticePractitioner - General Surgery 7416299409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
New York Medical College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dennis Stolpner MD IncGroup PAC ID 9335594464, 2 clinicians

Practice addresses (Care Compare)

6221 Wilshire Blvd
Suite 504
Los Angeles, CA 90048-5223
Phone (323) 965-9995

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156847CAMDGeneral Practice Physician
A156847CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Solutions Inc a Medical Group CurrentSince Jan 31, 2022 Accepting new patients
Dennis Stolpner MD Inc General Practice CurrentSince Aug 15, 2023 Accepting new patients
Outreach Care Medical Group, Inc CurrentSince Feb 9, 2021 Accepting new patients
Yevgeny Bukrinsky Past Accepting new patients
Hollywood Diagnostic Service Past Accepting new patients
Mednik Medical Corporation Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

6221 Wilshire Blvd
Ste 504
Los Angeles, CA 90048
Phone (323) 965-9995

5520 Santa Monica Blvd
Ste 110
Los Angeles, CA 90038
Phone (323) 960-3375

2171 S El Camino Real
Ste 104
Oceanside, CA 92054
Phone (760) 754-5663

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

2021 Santa Monica Blvd
Ste 440E
Santa Monica, CA 90404
Phone (310) 453-1386

2021 Santa Monica Blvd
Ste 424E
Santa Monica, CA 90404
Phone (310) 590-7020

2021 Santa Monica Blvd
#434E
Santa Monica, CA 90404

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1497018782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 S. EL CAMINO REAL",
            "address_2": "SUITE 104",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546269",
            "telephone_number": "760-754-5663",
            "fax_number": "760-754-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N. TUSTIN AVE",
            "address_2": "SUITE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053501",
            "telephone_number": "657-600-9077",
            "fax_number": "657-600-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLPNER",
        "first_name": "DENNIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "156847",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A156847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.