Organization Active NPI

Stephanie Cropper, MD, Inc.

  • Obstetrics & Gynecology Physician
  • Pomona, CA
National Provider Identifier
1760935357
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
STEPHANIE CROPPER, MD, INC.
Practice address
250 W Bonita Ave Ste 100
Pomona, CA 91767-1863
Phone
(909) 392-2002
Fax
(909) 392-2363
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Richard Davis
Title
Office Manager
Phone
(626) 795-4768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

250 W Bonita Ave Ste 100
Pomona, CA 91767-1863

Mailing address

PO Box 759
Claremont, CA 91711-0759
Phone (909) 374-2350

Other names 1

  • Bonita Obstetrics & Gynecology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210118000228 CA Part B Supplier - Clinic/Group Practice 3072926872 Receives reassigned benefits from 2 practitioners
Practice locations: Pomona, CA

National Provider Directory

National Provider Directory

Locations

250 W Bonita Ave
Ste 100
Pomona, CA 91767
Phone (909) 392-2002

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1760935357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917110759",
            "telephone_number": "909-374-2350",
            "fax_number": "626-795-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W BONITA AVE STE 100",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671863",
            "telephone_number": "909-392-2002",
            "fax_number": "909-392-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE CROPPER, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-795-4768"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Obstetrics & Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.