Individual provider Active NPI

David W Stegman

  • Adult Medicine Physician
  • Ventura, CA
National Provider Identifier
1710258157
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
GFE 15514 Issued in CA
Practice address
5886 Santa Lucia CT
Ventura, CA 93003-1160
Phone
(805) 639-9249
Fax
(805) 639-9249
NPI assigned
Jan 17, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X GFE 15514 CA Primary

Addresses

Primary practice location

5886 Santa Lucia CT
Ventura, CA 93003-1160

Mailing address

5886 Santa Lucia CT
Ventura, CA 93003-1160
Phone (805) 639-9249

Other names 1

  • Dr. David W Stegman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GFE 15514CAMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1710258157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 SANTA LUCIA CT",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031160",
            "telephone_number": "805-639-9249",
            "fax_number": "805-639-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 SANTA LUCIA CT",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031160",
            "telephone_number": "805-639-9249",
            "fax_number": "805-639-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGMAN",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "GFE 15514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "STEGMAN",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.