Active NPI
John L Steward, PSY.D.
- Clinical Psychologist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 15179
- Practice address
- 9921 Carmel Mountain Rd # 274
San Diego, CA 92129-2813 - Phone
- (925) 997-5355
- NPI assigned
- Mar 28, 2008
- 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 |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 15179 | CA | |
| Clinical Psychologist | 103TC0700X | 15179 | CA | Primary |
Addresses
Primary practice location
9921 Carmel Mountain Rd # 274
San Diego, CA 92129-2813
Mailing address
9921 Carmel Mountain Rd # 274
San Diego, CA 92129-2813
Phone (925) 997-5355
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3454 Hillcrest Ave
Antioch, CA 94531-8238
Phone (925) 777-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15179 | CA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of State Hospitals | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Department of State Hospitals | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients |
Locations
3454 Hillcrest Ave
Antioch, CA 94531
Phone (925) 777-6300
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
1600 9th St
Ste 150
Sacramento, CA 95814
Phone (916) 651-8811
1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
Organizations & group practices 6
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.
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- NPI 1073606299
-
- Psychiatric Hospital
- Coalinga, CA
- NPI 1124078704
-
- Psychiatric Hospital
- Atascadero, CA
- NPI 1174573802
-
- Psychiatric Hospital
- Napa, CA
- NPI 1326098161
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1801068986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9921 CARMEL MOUNTAIN RD # 274",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292813",
"telephone_number": "925-997-5355",
"fax_number": "925-937-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9921 CARMEL MOUNTAIN RD # 274",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921292813",
"telephone_number": "925-997-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWARD",
"first_name": "JOHN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-28",
"last_updated": "2022-01-05",
"certification_date": "2022-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "15179",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "15179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.