Individual provider Active NPI

Mara L Stevens, PA-C

  • Physician Assistant
  • Los Alamitos, CA
National Provider Identifier
1790231967
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53676 Issued in CA
Practice address
3851 Katella Ave Ste 200
Los Alamitos, CA 90720-3487
Phone
(562) 430-4138
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53676 CA Primary

Addresses

Primary practice location

3851 Katella Ave Ste 200
Los Alamitos, CA 90720-3487

Mailing address

1500 W Pacific Coast Hwy Apt 239
Wilmington, CA 90744-1894
Phone (740) 503-5609

Other practice location 1

4228 Laurelview Dr
Moorpark, CA 93021-3744
Phone (740) 503-5609

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170123001987 CA Practitioner - Physician Assistant 0840572087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2944 Tapo Canyon Rd
Suite a
Simi Valley, CA 93063-0903
Phone (805) 306-5990

806 New Los Angeles Ave
Moorpark, CA 93021-3608
Phone (805) 334-8650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Urgent Care, Inc CurrentSince May 2, 2018 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Dec 11, 2016 Accepting new patients
Orange County Urgent Care #3, Inc. CurrentSince Apr 3, 2019 Accepting new patients
Anaheim Urgent Care, Inc. CurrentSince May 2, 2018 Accepting new patients
Anaheim Urgent Care, Inc. Current Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Mar 29, 2023 Accepting new patients
Carbon Health Primary Care of California PC PastSince Apr 5, 2021 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

2415 E Imperial Hwy
Brea, CA 92821
Phone (714) 255-1640

14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173

2010 E Carson St
Long Beach, CA 90807
Phone (213) 401-0371

3851 Katella Ave
Ste 100
Los Alamitos, CA 90720
Phone (562) 424-5450

5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273

888 S Figueroa St
Ste 600
Los Angeles, CA 90017

806 New Los Angeles Ave
Moorpark, CA 93021
Phone (805) 334-8650

6160 Laurel Canyon Blvd
Ste 160
North Hollywood, CA 91606
Phone (213) 267-6536

600 E Colorado Blvd
Ste 120
Pasadena, CA 91101
Phone (323) 301-7988

500 First St
Paso Robles, CA 93446
Phone (805) 226-4222

4550 Van Nuys Blvd
Ste A4
Sherman Oaks, CA 91403
Phone (818) 230-2938

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

620 E Janss Rd
Thousand Oaks, CA 91360
Phone (805) 495-6866

Organizations & group practices 8

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 1

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1790231967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W PACIFIC COAST HWY APT 239",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907441894",
            "telephone_number": "740-503-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 KATELLA AVE STE 200",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203487",
            "telephone_number": "562-430-4138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4228 Laurelview Dr",
            "address_purpose": "LOCATION",
            "city": "Moorpark",
            "state": "CA",
            "postal_code": "930213744",
            "country_code": "US",
            "telephone_number": "740-503-5609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.