Individual provider Active NPI

Raymond M Stephens, MD

  • Neurology Physician
  • Walnut Creek, CA
National Provider Identifier
1629036140
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G40939 Issued in CA
Practice address
575 Lennon LN Ste 152
Walnut Creek, CA 94598-2443
Phone
(925) 602-7060
Fax
(925) 602-7070
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G40939 CA Primary

Addresses

Primary practice location

575 Lennon LN Ste 152
Walnut Creek, CA 94598-2443

Mailing address

575 Lennon LN Ste 152
Walnut Creek, CA 94598-2443
Phone (925) 602-7060

Other identifiers 2

IdentifierTypeStateIssuer
00G409390MedicaidCA
130005080OtherCAMEDICARE RAIL ROAD

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
I20070417000597 CA Practitioner - Neurology 3779580089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of California, San Diego School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

575 Lennon LN
Walnut Creek, CA 94598-2443
Phone (925) 378-4512

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G40939CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Aug 1, 2015 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Aug 1, 2015 Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 23, 2026 Accepting new patients
Permanente Medical Group Inc CurrentSince Feb 23, 2026 Accepting new patients
John Muir Trauma Physicians Billing Service PastSince Jun 26, 2007 Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

3701 Broadway
Oakland, CA 94611
Phone (510) 752-4148

400 Taylor Blvd
Ste 301
Pleasant Hill, CA 94523
Phone (925) 602-7060

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

575 Lennon Ln
Ste 152
Walnut Creek, CA 94598
Phone (925) 602-7060

Interoperability endpoints

  • Direct secure messaging: rstephens16737@ehr.johnmuirhealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1629036140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LENNON LN STE 152",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443",
            "telephone_number": "925-602-7060",
            "fax_number": "925-602-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LENNON LN STE 152",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443",
            "telephone_number": "925-602-7060",
            "fax_number": "925-602-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G40939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G409390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "130005080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.