Individual provider Active NPI

Gretchen Stipec, M.D.

  • Diagnostic Radiology Physician
  • Long Beach, CA
National Provider Identifier
1851343081
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G84142 Issued in CA
Practice address
701 E 28TH St
Ste 200
Long Beach, CA 90806-2759
Phone
(562) 933-7880
Fax
(562) 933-7869
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101-238974 VA
Diagnostic Radiology Physician 2085R0202X G84142 CA Primary

Addresses

Primary practice location

701 E 28TH St
Ste 200
Long Beach, CA 90806-2759

Mailing address

Dept la 21749
Pasadena, CA 91185-1749
Phone (949) 263-8620

Other identifiers 2

IdentifierTypeStateIssuer
00G841420MedicaidCA
00G841420OtherCABS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040930001232 CA Practitioner - Diagnostic Radiology 6305815713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Breast Imaging Radiologists a Medical Group IncGroup PAC ID 5294747085, 5 clinicians

Practice addresses (Care Compare)

11121 Los Alamitos Blvd
Suite B
Los Alamitos, CA 90720-3889
Phone (844) 825-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.84 of 100Reported as group
Quality
59.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101-238974VAMDSpecialist
G84142CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mink Radiologic Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jul 2, 2021 Accepting new patients
Breast Imaging Radiologists, a Medical Group, Inc. Diagnostic Radiology CurrentSince Jun 1, 2006 Accepting new patients
Memrad Medical Group Inc Past Accepting new patients
Beth Israel Medical Center Diagnostic Radiology Past Accepting new patients
Washington Radiology Assoc PLLC Specialist Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

8670 Wilshire Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 358-2100

2810 Long Beach Blvd
Ste 2
Long Beach, CA 90806

701 E 28th St
Ste 200
Long Beach, CA 90806
Phone (562) 264-3121

2810 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 933-1877

11121 Los Alamitos Blvd
Ste B
Los Alamitos, CA 90720

Interoperability endpoints

  • Direct secure messaging: gstipecmd15869@direct.memorialcare.org

Organizations & group practices 7

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1851343081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21749",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911851749",
            "telephone_number": "949-263-8620",
            "fax_number": "949-263-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 28TH ST",
            "address_2": "STE 200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062759",
            "telephone_number": "562-933-7880",
            "fax_number": "562-933-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIPEC",
        "first_name": "GRETCHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101-238974",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G84142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G841420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "00G841420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.