Active NPI
Alice M Stek, M.D.
- Obstetrics & Gynecology Physician
- Los Angeles, CA
National Provider Identifier
1689678013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A51981
- Practice address
- 1400 S Grand Ave
Ste 805
Los Angeles, CA 90015-3011 - Phone
- (213) 763-1500
- Fax
- (213) 763-1505
- NPI assigned
- Jun 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | A51981 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | A51981 | CA | Primary |
Addresses
Primary practice location
1400 S Grand Ave
Ste 805
Los Angeles, CA 90015-3011
Mailing address
1640 Marengo St
Ste 505
Los Angeles, CA 90033-1038
Phone (323) 221-3270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OOA519810 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260622000158 | CA | Order and Referring Only - Obstetrics/Gynecology | 4688147713 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A51981 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Obstetricians and Gynecologists, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Pasadena, CA
- NPI 1992740450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1689678013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 MARENGO ST",
"address_2": "STE 505",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331038",
"telephone_number": "323-221-3270",
"fax_number": "323-225-6284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S GRAND AVE",
"address_2": "STE 805",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153011",
"telephone_number": "213-763-1500",
"fax_number": "213-763-1505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEK",
"first_name": "ALICE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "A51981",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A51981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOA519810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.