Active NPI
Donald V Stevenson, M.D.
- Orthopaedic Surgery Physician
- Inglewood, CA
National Provider Identifier
1770584047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G48296
- Practice address
- 575 E. Hardy St
Suite 105
Inglewood, CA 90301-4040 - Phone
- (310) 674-1211
- Fax
- (310) 674-8668
- NPI assigned
- Aug 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G48296 | CA | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G48296 | CA |
Addresses
Primary practice location
575 E. Hardy St
Suite 105
Inglewood, CA 90301-4040
Mailing address
575 E. Hardy St
Suite 105
Inglewood, CA 90301-4040
Phone (310) 674-1211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G482960 | 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 Compare- Specialty
- Orthopedic Surgery
- Education
- University of Southern California Keck School of Medicine, 1981
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
575 E Hardy St
Suite 109
Inglewood, CA 90301-4039
Phone (310) 674-1211
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48296 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stevenson Orthopaedic Medical Clinic | Orthopaedic Surgery | Current | Accepting new patients |
| RJ Physical Therapy Group Inc | Past | Accepting new patients |
Locations
575 E Hardy St
Ste 105
Inglewood, CA 90301
Phone (310) 412-0100
575 E Hardy St
Ste 109
Inglewood, CA 90301
Phone (310) 419-8585
Interoperability endpoints
- dstevenson@stevensonorthopaedicmedicalclini.adaptamed.direct-ci.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Inglewood, CA
- NPI 1376638965
-
- Physical Therapist
- Inglewood, CA
- NPI 1306290085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1770584047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 E. HARDY ST",
"address_2": "SUITE 105",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014040",
"telephone_number": "310-674-1211",
"fax_number": "310-674-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 E. HARDY ST",
"address_2": "SUITE 105",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014040",
"telephone_number": "310-674-1211",
"fax_number": "310-674-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "DONALD",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G48296",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "G48296",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G482960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.