Stephen A Worsham, M.D.
Individual provider Active NPI Urology Physician · Salinas, CA
NPI 1649294133 · NPPES record last updated Jun 10, 2008
Key facts
- NPI
- 1649294133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- A49792 (CA)
- Practice address
- 1115 Los Palos Dr
Salinas, CA 93901-3853 - Phone
- (831) 758-3851
- Fax
- (831) 758-8701
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608001071 | CA | Practitioner - Urology | 1557317294 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A49792 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salinas Valley Urology Associates | Urology | Current |
Accepting new patients |
| R Brickley Sweet M D and Leonard G Renfer M D PTRS | Urology | Current | Accepting new patients |
| Amir Saffarian, M.D., Inc. | Urology | Current | Accepting new patients |
| J. Anthony Shaheen MD Inc | Urology | Past |
Accepting new patients |
| Advanced Medical Surgery Center a Medical Corporation | Past |
Accepting new patients | |
| Advanced Urology Health Center Inc | Past | Accepting new patients |
Locations
18181 Butterfield Blvd
Ste 185
Morgan Hill, CA 95037
Phone (408) 778-4886
1115 Los Palos Dr
#A
Salinas, CA 93901
114 E Romie Ln
Salinas, CA 93901
Phone (831) 422-4500
1115 Los Palos Dr
Salinas, CA 93901
Phone (408) 758-3851
Interoperability endpoints
- https://api.platform.athenahealth.com/9914/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A49792 | CA | Yes |
Addresses
Primary practice location
1115 Los Palos Dr
Salinas, CA 93901-3853
Mailing address
1115 Los Palos Dr
Salinas, CA 93901-3853
Phone (831) 758-3851
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A497920 | Medicaid | CA | |
| 340005100 | Other | RAILROAD MEDICARE | |
| 00A497922 | Other | MEDICARE PTAN |
Other providers in Salinas, CA
- Dylan Woods
- Jennalyn Apostol Wooldridge
- Robert Leland Woolery
- Natalie M Worden
- Timothy Work
- Shauna Lynne Worthington
- Kristen Marie Wulff
- Amber Wyatt
- Tami Yahnke
- Michelle Tuong-VI Yamaguchi
All providers in Salinas, CA · Urology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.