Individual provider Active NPI

Stephen Maxwell Cerni, DO

  • Emergency Medicine Physician
  • Bethlehem, PA
National Provider Identifier
1720550783
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT020236 Issued in PA
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-4000
NPI assigned
Dec 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X OT020236 PA Primary

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

2851 Countrywood LN
West Covina, CA 91791-3747

Other practice location 1

615 E 3rd St
Pomona, CA 91766-1906
Phone (909) 623-6116

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
I20230821001846 CA Practitioner - Emergency Medicine 8123402179 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ignite Emergency Physicians a Medical CorporationGroup PAC ID 2365988326, 46 clinicians

Practice addresses (Care Compare)

5000 San Bernardino St
Montclair, CA 91763-2326
Phone (909) 625-5411

Hospital & facility affiliations

  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586
  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
88.82
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.56
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT020236PAMDEmergency Medicine Physician
20557CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montclair Emergency Medical Associates Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Jul 1, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 8, 2023 Accepting new patients
San Dimas Emergency Medical Associates Inc. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 8, 2023 Accepting new patients
Chino Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients

Locations

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

13652 Cantara St
Panorama City, CA 91402
Phone (818) 375-2417

1801 W Olympic Blvd
#2611
Pasadena, CA 91199

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Organizations & group practices 7

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 2

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": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1720550783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 COUNTRYWOOD LN",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917913747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917661906",
            "country_code": "US",
            "telephone_number": "909-623-6116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERNI",
        "first_name": "STEPHEN",
        "middle_name": "MAXWELL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-31",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT020236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.