Active NPI
Lenzy Stephenson, D.O.
- Family Medicine Physician
- Clovis, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16925
- Practice address
- 2740 Herndon Ave
Clovis, CA 93611-6813 - Phone
- (559) 299-2608
- Fax
- (559) 299-1250
- NPI assigned
- May 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 79484 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 16925 | CA | Primary |
Addresses
Primary practice location
2740 Herndon Ave
Clovis, CA 93611-6813
Mailing address
2740 Herndon Ave
Clovis, CA 93611-6813
Phone (559) 299-2608
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DOS-2072 | Other | HI | HI-MEDICAL LICENSE |
| 79484 | Other | GA | GA-MEDICAL LICENSE |
| 20A16925 | Other | CA | CA MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Memorial University Medical Department, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora South Carolina LLC
Practice addresses (Care Compare)
18 Professional Village Cir
Beaufort, SC 29907-1570
Phone (843) 986-9670
300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 770-0404
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16925 | CA | MD | Acupuncturist |
| 79484 | GA | MD | Family Medicine Physician |
| 92632 | SC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Valley Indian Health, Inc | Family Medicine | Current | Accepting new patients |
| Central Valley Indian Health Inc | Family Medicine | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Central Valley Indian Health Inc | Family Medicine | Current | Accepting new patients |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Central Valley Indian Health, Inc. | Family Medicine | Current | Accepting new patients |
Locations
2740 Herndon Ave
Clovis, CA 93611
Phone (559) 299-2608
16835 Alkali Dr
Ste M
Lemoore, CA 93245
Phone (559) 924-0460
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746
955 Ribaut Rd
#C
Beaufort, SC 29902
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
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.
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Family Medicine Physician
- Lemoore, CA
- NPI 1215157375
-
- General Practice Physician
- Beaufort, SC
- NPI 1336180165
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaufort, SC
- NPI 1366436073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1497134837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116813",
"telephone_number": "559-299-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 HERNDON AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936116813",
"telephone_number": "559-299-2608",
"fax_number": "559-299-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "LENZY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2023-03-07",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "79484",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "16925",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HI-MEDICAL LICENSE",
"identifier": "DOS-2072",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA-MEDICAL LICENSE",
"identifier": "79484",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE",
"identifier": "20A16925",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.