Individual provider Active NPI

Charles Eugene Stewart IV, MD

  • Otolaryngology Physician
  • Loma Linda, CA
National Provider Identifier
1669422903
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A78669 Issued in CA
Practice address
11370 Anderson St
Ste 2100
Loma Linda, CA 92354-3450
Phone
(909) 558-8558
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A78669 CA Primary

Addresses

Primary practice location

11370 Anderson St
Ste 2100
Loma Linda, CA 92354-3450

Mailing address

54701 File Number
Los Angeles, CA 90074-4701
Phone (909) 558-3111

Other identifiers 1

IdentifierTypeStateIssuer
00A786690MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060925000543 CA Practitioner - OtolaryngologyPractitioner - Surgical Oncology 4981609930 Reassigns benefits to 3 organizations
I20211202002249 NV Practitioner - Otolaryngology 4981609930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Surgical Oncology
Education
Loma Linda University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

135 Mission Ranch Blvd
Suite 100
Chico, CA 95926-2175
Phone (530) 342-2411

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78669CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince May 10, 2014 Accepting new patients
Enloe Medical Center Otolaryngology CurrentSince Oct 24, 2023 Accepting new patients
Silver State Ear Nose & Throat LTD Otolaryngology CurrentSince Jan 1, 2022 Accepting new patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince Aug 5, 2015 Accepting new patients
Permanente Medical Group Inc Otolaryngology CurrentSince May 10, 2014 Accepting new patients
Enloe Medical Center CurrentSince Oct 24, 2023 Accepting new patients
Permanente Medical Group Inc Otolaryngology Current Accepting new patients
Enloe Medical Center Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Oroville Hospital Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Oroville Hospital Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients

Locations

2809 Olive Hwy
Oroville, CA 95966
Phone (530) 532-8654

2721 Olive Hwy
Ste 10
Oroville, CA 95966
Phone (530) 533-1554

2767 Olive Hwy
#240
Oroville, CA 95966
Phone (530) 532-8544

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2760 Oro Dam Blvd E
Ste A
Oroville, CA 95966
Phone (530) 534-0601

2721 Olive Hwy
Ste 9A
Oroville, CA 95966

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

2780 Oro Dam Blvd E
Ste 2
Oroville, CA 95966
Phone (530) 533-7727

2809 Olive Hwy
Ste 210
Oroville, CA 95966
Phone (530) 532-8010

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

501 Hammill Ln
Reno, NV 89511
Phone (775) 571-1275

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1669422903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54701 FILE NUMBER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900744701",
            "telephone_number": "909-558-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11370 ANDERSON ST",
            "address_2": "STE 2100",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543450",
            "telephone_number": "909-558-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CHARLES",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A78669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A786690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

Verify at the official NPI Registry.