Active NPI
Steven P. Stiles, M.D.
- Ophthalmology Physician
- Tarzana, CA
National Provider Identifier
1770515587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G14053
- Practice address
- 18370 Burbank Blvd
Suite 207
Tarzana, CA 91356-2804 - Phone
- (818) 996-3400
- Fax
- (818) 996-8643
- NPI assigned
- Jul 6, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G14053 | CA | Primary |
Addresses
Primary practice location
18370 Burbank Blvd
Suite 207
Tarzana, CA 91356-2804
Mailing address
18370 Burbank Blvd
Suite 207
Tarzana, CA 91356-2856
Phone (818) 996-3400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G14053 | Other | CA | CA MEDICAL LICENSE |
| 00G140530 | 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G14053 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Community Care | Past | Accepting new patients | |
| Frederick M. Raymond MD | Ophthalmology | Past | Accepting new patients |
| Azul Vision Inc. | Ophthalmology | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Ophthalmology Physician
- Tarzana, CA
- NPI 1912186495
-
- Ophthalmology Physician
- Pasadena, CA
- NPI 1285247528
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- Ophthalmology Physician
- Whittier, CA
- NPI 1992986970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1770515587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD",
"address_2": "SUITE 207",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562856",
"telephone_number": "818-996-3400",
"fax_number": "818-996-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD",
"address_2": "SUITE 207",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562804",
"telephone_number": "818-996-3400",
"fax_number": "818-996-8643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "STEVEN",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G14053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE",
"identifier": "G14053",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G140530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.