Individual provider Active NPI

Deepak Kumar Stokes, M.D.

  • Obstetrics & Gynecology Physician
  • Eureka, CA
National Provider Identifier
1528066206
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A33996 Issued in CA
Practice address
3200 Walford Ave # E
Eureka, CA 95503-4828
Phone
(707) 445-3443
Fax
(707) 445-1848
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A33996 CA Primary

Addresses

Primary practice location

3200 Walford Ave # E
Eureka, CA 95503-4828

Mailing address

3200 Walford Ave # E
Eureka, CA 95503-4828
Phone (707) 445-3443

Other identifiers 1

IdentifierTypeStateIssuer
00A339960MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dstokes1658360@oc.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000372 CA Practitioner - Obstetrics/Gynecology 4284628561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Redwood Women'S CenterGroup PAC ID 0547306433, 3 clinicians

Practice addresses (Care Compare)

200 W Ctr St Promenade
Anaheim, CA 92805-3960

2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121

2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060

3200 Walford Ave
Eureka, CA 95503-4828
Phone (707) 445-3443

3200 Walford Ave E
Eureka, CA 95503-4828

3309 Renner Dr
Fortuna, CA 95540-3119
Phone (707) 725-6108

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

Hospital & facility affiliations

  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33996CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redwood Women'S Center, a Medical Corporation Obstetrics & Gynecology CurrentSince Dec 29, 2010 Accepting new patients
Providence Medical Foundation Obstetrics & Gynecology CurrentSince Jul 3, 2017 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Health Care Medical Assoc Obstetrics & Gynecology CurrentSince Sep 12, 1995 Accepting new patients
Providence Medical Foundation CurrentSince Jul 3, 2017 Accepting new patients
Redwood Women'S Health Center Obstetrics & Gynecology Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Providence Medical Foundation Obstetrics & Gynecology Past Accepting new patients
Harris St. Diagnostics Past Accepting new patients

Locations

3200 Walford Ave
Eureka, CA 95503
Phone (707) 445-3443

2607 Harris St
Eureka, CA 95503
Phone (707) 444-3100

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

3200 Walford Ave
Ste E
Eureka, CA 95503
Phone (707) 441-8335

3309 Renner Dr
Fortuna, CA 95540
Phone (707) 725-6108

2192 Central Ave
Ste B
McKinleyville, CA 95519
Phone (707) 839-5955

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

Interoperability endpoints

  • Direct secure messaging: d.stokes@rwc-ca.direct.office.nextgen.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Redwood Women'S CenterFortuna, CA, CCN 058957 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
Dec 29, 2010
Dec 29, 2010
Dec 29, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 5

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1528066206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WALFORD AVE # E",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034828",
            "telephone_number": "707-445-3443",
            "fax_number": "707-445-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WALFORD AVE # E",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034828",
            "telephone_number": "707-445-3443",
            "fax_number": "707-445-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKES",
        "first_name": "DEEPAK",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A33996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A339960",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dstokes1658360@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3200 Walford Ave",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.