Active NPI
Mark Steven Stern, MD
- Neurological Surgery Physician
- Escondido, CA
National Provider Identifier
1649282765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G47596
- Practice address
- 705 E Ohio Ave
Escondido, CA 92025-3418 - Phone
- (760) 489-9490
- Fax
- (760) 489-7638
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G47596 | CA | Primary |
Addresses
Primary practice location
705 E Ohio Ave
Escondido, CA 92025-3418
Mailing address
705 E Ohio Ave
Escondido, CA 92025-3418
Phone (760) 489-9490
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G47596 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Mark S Stern M D a Professional Corporation | Neurological Surgery | Current | Accepting new patients |
| Tri-City Hospital | Past | Accepting new patients | |
| Palomar Health | Past | Accepting new patients |
Locations
705 E Ohio Ave
Escondido, CA 92025
Phone (619) 489-9490
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mstern81642@scrippshlth.medalliesdirect.net
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Escondido, CA
- NPI 1346366929
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1649282765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 E OHIO AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253418",
"telephone_number": "760-489-9490",
"fax_number": "760-489-7638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E OHIO AVE",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253418",
"telephone_number": "760-489-9490",
"fax_number": "760-489-7638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "MARK",
"middle_name": "STEVEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G47596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.