Stephen Anderson, M.D
Individual provider Active NPI Emergency Medicine Physician · Apple Valley, CA
NPI 1659554194 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1659554194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- ME154012 (FL)
- Practice address
- 18300 US Highway 18
Apple Valley, CA 92307-2206 - Phone
- (760) 242-2311
- NPI assigned
- Dec 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Loma Linda University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Practice addresses (Care Compare)
1 Shircliff Way
Jacksonville, FL 32204-4748
Phone (904) 308-7300
Hospital & facility affiliations
- Ascension St Vincent'S St Johns County
- Ascension St Vincent'S Southside
- Ascension St Vincent'S Riverside
- Ascension St Vincent'S Clay County
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, FL
- 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 |
|---|---|---|---|---|
| I20150330001626 | TN | Practitioner - Emergency Medicine | 7517951775 | Reassigns benefits to 1 organization |
| I20220505001451 | FL | Practitioner - Emergency Medicine | 7517951775 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81689 | CA | MD | Emergency Medicine Physician |
| ME154012 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Inc | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Inc | Emergency Medicine | Current |
Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current |
Accepting new patients |
| Cep America LLC | Emergency Medicine | Current |
Accepting new patients |
| Columbia Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| Anaheim Memorial Hospital Emergency Physicians Medical Group | Emergency Medicine | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000
1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
205 Trinity Way
St Johns, FL 32259
Phone (904) 308-1255
436 Central Ave W
Jamestown, TN 38556
Phone (931) 752-5762
10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A81689 | CA | |
| Emergency Medicine Physician | 207P00000X | ME154012 | FL | Yes |
Addresses
Primary practice location
18300 US Highway 18
Apple Valley, CA 92307-2206
Mailing address
2100 Powell St
Ste 900
Emeryville, CA 94608-1826
Phone (510) 350-2664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A816890 | Medicaid | CA |
Other providers in Apple Valley, CA
- Anaya Womens OBGYN Group Inc
- Codi Jo Andersen
- Erica Lynn Anderson
- Michelle Marie Anderson
- Robert Craig Anderson
- Tre'Nise Je'Mel Anderson
- Autumn Andrade
- Rose Kathleen Andrade
- Karyn D Andreasen
- Andres a de la Llana MD Inc
All providers in Apple Valley, CA · Emergency Medicine 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 22, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.