Individual provider Active NPI

Jennifer Lynne Stever, D.O.

  • Emergency Medicine Physician
  • Manhattan Beach, CA
National Provider Identifier
1689870818
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A10348 Issued in CA
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

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080722000248 CA Practitioner - Emergency Medicine 5799871349 Reassigns benefits to 5 organizations

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 - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians
Coast Plaza Emergency Physicians Group IncGroup PAC ID 7113249947, 10 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10348CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Apex Emergency Medical Group, Inc. Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Sep 1, 2021 Accepting new patients
Cep America-California Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Cep America-California Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Cep America - California Emergency Medicine CurrentSince May 1, 2019 Accepting new patients
Coast Plaza Emergency Physicians Group Inc Emergency Medicine CurrentSince Jan 5, 2018 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 PastSince Aug 7, 2022 Accepting new patients
Pacific Coast Emergency Medical Associates, Inc Emergency Medicine PastSince May 25, 2021 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.

Hospital & facility affiliations 5

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": "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

Sources for this page

Verify at the official NPI Registry.