Active NPI
Stephen A Dada, M.D.
- Surgery Physician
- Wildomar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A86832
- Practice address
- 36320 Inland Valley Dr.
Suite 101a
Wildomar, CA 92595-7512 - Phone
- (951) 698-3000
- Fax
- (951) 698-7700
- NPI assigned
- Dec 19, 2006
- Last updated
- Jul 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A86832 | CA | Primary |
Addresses
Primary practice location
36320 Inland Valley Dr.
Suite 101a
Wildomar, CA 92595-7512
Mailing address
36320 Inland Valley Dr.
Suite 101a
Wildomar, CA 92595-7512
Phone (951) 698-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ET544A | Other | CA | MEDICARE PTAN |
| 1710040605 | 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
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Temple University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 998-8591
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 327-3288
36320 Inland Valley Dr
Suite 101
Wildomar, CA 92595-7512
Phone (951) 698-3000
Hospital & facility affiliations
- St Bernardine Medical Center
- Southwest Healthcare Rancho Springs Hospital
- Northridge Hospital Medical Center
- Temecula Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northridge Trauma Surgeons Inc a Medical Corporation | Neurological Surgery | Current | Accepting new patients |
| Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | Current | Accepting new patients |
| Western Acute Care Surgeons Inc | Surgery | Current | Accepting new patients |
| Trinity Medical Multi-Specialty Group Inc. | Current | Accepting new patients | |
| Murrieta Valley Surgery Associates Medical Group, Inc, Apc | Surgery | Current | Accepting new patients |
| Trinity Anesthesia Group Inc | Current | Accepting new patients | |
| Universal Health Services of Rancho Springs Inc | Past | Accepting new patients | |
| Uhs Corona Inc | Past | Accepting new patients | |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients | |
| Regents of the Univ of Ca | Surgery | Past | Accepting new patients |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| First Surgery Center, Inc. | Past | Accepting new patients | |
| Temecula Valley Hospital Inc | Past | Accepting new patients | |
| Menifee Valley Medical Center | Past | Accepting new patients | |
| West Gastroenterology Medical Group | Past | Accepting new patients |
Locations
3853 W Stetson Ave
Ste 105
Hemet, CA 92545
18250 Roscoe Blvd
Ste 335
Northridge, CA 91325
Phone (818) 700-7900
18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331
9227 Reseda Blvd
Northridge, CA 91324
Phone (818) 631-1064
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
399 E Highland Ave
Ste 320
Sn Bernrdno, CA 92404
Phone (909) 327-3288
401 E Highland Ave
Ste 351
Sn Bernrdno, CA 92404
Phone (909) 475-8611
967 Kendall Dr
Ste A306
Sn Bernrdno, CA 92407
31537 Rancho Pueblo Rd
Ste 202
Temecula, CA 92592
Phone (951) 698-3000
31625 De Portola Rd
Ste 101
Temecula, CA 92592
Phone (951) 501-4200
44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200
36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (951) 600-3811
36320 Inland Valley Dr
Ste 101A
Wildomar, CA 92595
Phone 9516983000 ext. 304
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- sdada181885@direct.llu.edu
Organizations & group practices 15
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.
-
- Surgery Physician
- Wildomar, CA
- NPI 1417448168
-
dba Murrieta Valley Surgery Associates
- Surgery Physician
- Wildomar, CA
- NPI 1760743454
-
- Surgery Physician
- Northridge, CA
- NPI 1255418745
Neurological Surgery
-
- Surgery Physician
- San Bernardino, CA
- NPI 1417581059
-
- Gastroenterology Physician
- Temecula, CA
- NPI 1598399917
-
- Anesthesiology Physician
- Temecula, CA
- NPI 1861078693
-
- Ambulatory Surgical Clinic/Center
- Temecula, CA
- NPI 1518592021
-
- General Acute Care Hospital
- Sun City, CA
- NPI 1881781482
-
dba Loma Linda University Medical Center-Murrieta
- General Acute Care Hospital
- Murrieta, CA
- NPI 1386945947
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
dba Temecula Valley Hospital
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northridge Hospital Medical Center
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
dba St. Bernardine Medical Center
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1689769911
-
dba Temecula Valley Hospital
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
dba Southwest Healthcare - Inland Valley Hospital
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1710040605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36320 INLAND VALLEY DR.",
"address_2": "SUITE 101A",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925957512",
"telephone_number": "951-698-3000",
"fax_number": "951-698-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36320 INLAND VALLEY DR.",
"address_2": "SUITE 101A",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925957512",
"telephone_number": "951-698-3000",
"fax_number": "951-698-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADA",
"first_name": "STEPHEN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A86832",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "ET544A",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710040605",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.