Stephen J. Groth,MD,Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

G36991 Issued in CA

Legal business name

STEPHEN J. GROTH,MD,INC

Practice address

32272 Camino Capistrano
Suite a
San Juan Capistrano, CA 92675-3742

Phone

(949) 545-6930

Fax

(949) 545-6931

NPI assigned

Jan 27, 2010

Organization subpart

Yes

Parent organization

STEPHEN J GROTH,MD,INCAs reported in NPPES

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

Authorized official

Name

Dr. Stephen James Groth, MD

Title

Owner

Phone

(949) 545-6930

Specialties & licenses 1

Addresses

Other names 1

• TRIAD TREATMENT CENTER Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1710218904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32272 CAMINO CAPISTRANO",
            "address_2": "SUITE A",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753742",
            "telephone_number": "949-545-6930",
            "fax_number": "949-545-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32272 CAMINO CAPISTRANO",
            "address_2": "SUITE A",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753742",
            "telephone_number": "949-545-6930",
            "fax_number": "949-545-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J. GROTH,MD,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHEN J GROTH,MD,INC",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "GROTH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-545-6930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G36991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRIAD TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Stappaerts, MD
• Dianna Stark, LCSW
• Caroline Sue Statzula, RN
• Theresa Ann Steiner, MFTI
• Derrick Stephan, PA-C
• Ruta Sternbergs
• Steven P. Theodosis Dental Corporation
• Jean Marie Stewart, MA PSYCHOLOGY C-4647
• Jillian Stewart, DPT
• Melody Stone, LMFT

• Clinic/Center in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.