Active NPI
Stephen S Ehrlich, M.D.
- Cardiovascular Disease Physician
- Mission Viejo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G58587
- Practice address
- 27800 Medical Center Rd
Suite 222
Mission Viejo, CA 92691-6410 - Phone
- (949) 276-2446
- Fax
- (949) 276-2449
- NPI assigned
- Dec 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | G58587 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | G58587 | CA | Primary |
Addresses
Primary practice location
27800 Medical Center Rd
Suite 222
Mission Viejo, CA 92691-6410
Mailing address
27800 Medical Center Rd
Suite 222
Mission Viejo, CA 92691-6410
Phone (949) 276-2446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G585870 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58587 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ccoc, Inc. | Clinical Cardiac Electrophysiology | Current | Accepting new patients |
| Mission Internal Medical Group, Inc. | Current | Accepting new patients | |
| Pacific Private Practice Network Inc | Past | Accepting new patients |
Locations
333 Corporate Dr
Ste 102
Mission Viejo, CA 92694
Phone (949) 276-2446
27800 Medical Center Rd
Ste 222
Mission Viejo, CA 92691
Phone (949) 276-2446
26522 La Alameda
Ste 120
Mission Viejo, CA 92691
Phone (949) 282-1671
665 Camino de los Mares
Ste 210
San Clemente, CA 92673
Phone (949) 240-6772
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Coastal Cardiology of Orange County
- Clinical Cardiac Electrophysiology Physician
- Ladera Ranch, CA
- NPI 1285968909
-
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1902884174
-
- Pulmonary Disease Physician
- San Juan Capistrano, CA
- NPI 1033501077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1700862547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD",
"address_2": "SUITE 222",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916410",
"telephone_number": "949-276-2446",
"fax_number": "949-276-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD",
"address_2": "SUITE 222",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916410",
"telephone_number": "949-276-2446",
"fax_number": "949-276-2449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRLICH",
"first_name": "STEPHEN",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "G58587",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G58587",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G585870",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.