Individual provider Active NPI

Stephen Meffert, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Santa Rosa, CA
National Provider Identifier
1609879105
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A51000 Issued in CA
Practice address
3536 Mendocino Ave
Ste 380
Santa Rosa, CA 95403-3612
Phone
(707) 575-5353
Fax
(707) 523-7733
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X A51000 CA Primary

Addresses

Primary practice location

3536 Mendocino Ave
Ste 380
Santa Rosa, CA 95403-3612

Mailing address

3536 Mendocino Ave Ste 380
Santa Rosa, CA 95403-3612
Phone (707) 575-5353

Other identifiers 2

IdentifierTypeStateIssuer
180034026OtherCAMEDICARE RAILROAD
A51000OtherCASTATE MEDICAL LICENSE

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
I20100915000658 CA Practitioner - Ophthalmology 7416072376 Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3536 Mendocino Ave
Suite 380
Santa Rosa, CA 95403-3612
Phone (707) 575-5353

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as individual
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1609879105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE STE 380",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033612",
            "telephone_number": "707-575-5353",
            "fax_number": "707-523-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "STE 380",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033612",
            "telephone_number": "707-575-5353",
            "fax_number": "707-523-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEFFERT",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A51000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180034026",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A51000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.