Active NPI
Jennifer Lynne Stever, D.O.
- Emergency Medicine Physician
- Manhattan Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 20A10348
- Practice address
- 111 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-6849 - Phone
- (310) 379-2134
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 243386 | NY | |
| Emergency Medicine Physician | 207P00000X | 02006872A | IN | |
| Emergency Medicine Physician | 207P00000X | 20A10348 | CA | Primary |
Addresses
Primary practice location
111 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-6849
Mailing address
111 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-6849
Phone (310) 379-2134
Other names 1
- Dr. Jennifer Lynne Fredericks
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - California
Practice addresses (Care Compare)
1025 S Anaheim Blvd
Anaheim, CA 92805-5806
Phone (714) 533-6220
13100 Studebaker Rd
Norwalk, CA 90650-2531
Phone (562) 868-3751
18300 US Hwy 18
Apple Valley, CA 92307-2206
Phone (760) 242-2311
Hospital & facility affiliations
- Adventist Health Bakersfield
- Garden Grove Hospital & Medical Center
- Coast Plaza Hospital
- Adventist Health White Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10348 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Apex Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Seven Star Hospital Associates Inc. | Current | Accepting new patients | |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Coast Plaza Emergency Physicians Group Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Anaheim Global Medical Center, Inc | Past | Accepting new patients | |
| Valley Presbyterian Emergency Medical Associates | Emergency Medicine | Past | Accepting new patients |
| Pacific Coast Emergency Medical Associates, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
12601 Garden Grove Blvd
Garden Grove, CA 92843
Phone (714) 537-5160
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811
3700 South St
Lakewood, CA 90712
Phone (562) 424-2900
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
13100 Studebaker Rd
Norwalk, CA 90650
Phone (562) 420-1945
2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051
2701 S Bristol St
Santa Ana, CA 92704
Phone (714) 636-0342
28400 McCall Blvd
Sun City, CA 92585
Phone (909) 679-8888
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Norwalk, CA
- NPI 1912308446
-
- Emergency Medicine Physician
- Hemet, CA
- NPI 1265711089
-
dba Seven Star Radiology
- Diagnostic Radiology Physician
- Hemet, CA
- NPI 1043813140
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Emergency Medicine Physician
- Tracy, CA
- NPI 1629814736
-
dba Anaheim Global Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1316179492
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Coast Plaza Hospital
- General Acute Care Hospital
- Norwalk, CA
- NPI 1194016923
-
dba Coast Plaza Hospital
- Psychiatric Hospital Unit
- Norwalk, CA
- NPI 1952012379
-
dba Garden Grove Hospital & Medical Center
- General Acute Care Hospital
- Garden Grove, CA
- NPI 1659538858
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660521600000",
"number": "1689870818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N SEPULVEDA BLVD STE 210",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666849",
"telephone_number": "310-379-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N SEPULVEDA BLVD STE 210",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666849",
"telephone_number": "310-379-2134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVER",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "243386",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02006872A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "20A10348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "FREDERICKS",
"middle_name": "LYNNE",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manhattan Beach, CA
- Julian B. Stanley, M.D.
- Starlight Anesthesia Inc
- Patricia Ellen Starobin, R.N., M.S., GNP
- Howard E Stein, OD
- Jonathan Mark Stein, O.D.
- Stillwater Group Inc
- Stockdale Radiology Physicians Services, Inc.
- Sarah Stoker, PHD
- Suchir Sheth Podiatry Corporation (SoCal Sports Podiatry)
- Sun Valley Medical Devices Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.