Stephanie N McClellan, M.D.

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

G46111 Issued in CA

Practice address

11911 San Vicente Blvd Ste 265
Los Angeles, CA 90049-6634

Phone

(949) 463-1990

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 10, 2015 through Apr 10, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: stephanie.mcclellan@818068760952836.direct.elationemr.com

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.

• Era Women'S Health, P.C.

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1003657800
  NPD Authorized official
• Stephanie McClellan, MD, Inc.

  • Gynecology Physician
  • Newport Beach, CA
  • NPI 1912943994
  NPD Authorized official
• Doctors Office for Women

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
  • NPI 1750329215
  NPD (past)
• Eeh Medical Corporation

  • Obstetrics & Gynecology Physician
  • Newport Beach, CA
  • NPI 1659319259
  NPD (past)
• Hoag Clinic

  • Primary Care Clinic/Center
  • Newport Beach, CA
  • NPI 1942799523
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1679523914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MARGUERITE AVE",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252335",
            "telephone_number": "949-463-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 SAN VICENTE BLVD STE 265",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496634",
            "telephone_number": "949-463-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "STEPHANIE",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G46111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Todd McClaugherty
• Amanda McCleery, PH.D.
• Linda McClellan, NP
• Morgan McClellan
• Shawn McClellan, LMFT
• Rachel Victoria McClements, PSY.D.
• Camille S McClendon
• Darryl McClendon
• Latecia McClendon
• Margo McClodden

• Gynecology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.