Stephen R. Holtzman, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A78719 Issued in CA

Practice address

1310 Las Tablas Rd
Suite 103
Templeton, CA 93465-9737

Phone

(805) 461-7080

Fax

(805) 464-0243

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Geisel School of Medicine at Dartmouth, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates of San Luis Obispo a Medical Group IncGroup PAC ID 6608319702, 56 clinicians

Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
• French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
• Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
• Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment Care Compare group NPD
• Radiology Associates of San Luis Obispo, a Medical Group Inc

  • Diagnostic Radiology Physician
  • Templeton, CA
  • NPI 1326888140
  Medicare reassignment Care Compare group NPD
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Physical Medicine & Rehabilitation Physician
  • San Luis Obispo, CA
  • NPI 1831957125
  NPD
• Magnetic Resonance Imaging of San Luis Obispo, Inc.

  • Diagnostic Radiology Physician
  • San Luis Obispo, CA
  • NPI 1003187881
  NPD
• Adventist Health Heart Institute-Ukiah

  • Multi-Specialty Clinic/Center
  • Ukiah, CA
  • NPI 1417295643
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation
• Sierra Vista Hospital, Inc.

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1639101116
  Care Compare affiliation
• Twin Cities Community Hospital, Inc.

  • General Acute Care Hospital
  • Templeton, CA
  • NPI 1396778197
  Care Compare affiliation

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1689648073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2920",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934232920",
            "telephone_number": "805-461-7080",
            "fax_number": "805-464-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 LAS TABLAS RD",
            "address_2": "SUITE 103",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659737",
            "telephone_number": "805-461-7080",
            "fax_number": "805-464-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "STEPHEN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A78719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A787190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven John Herron, MD
• Corey Joseph Hiti, M.D.
• Donald Russell Hobbs, PA-C
• Steve Hodgson, RPT
• Holistic Physical Therapy, Inc.
• Homefree Solutions for Independent Living
• Joseph R Horne, O.D.
• Hospitalist Medicine Physicians of San Luis Obispo County, Inc
• Trevor Patrick Houston, D.O.
• Lindsay Humphreys, RNFA

• Diagnostic Radiology Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.