Active NPI
Gretchen Stipec, M.D.
- Diagnostic Radiology Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G84142
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G841420 | Medicaid | CA | |
| 00G841420 | Other | CA | BS |
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
- Diagnostic Radiology
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 59.68
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-238974 | VA | MD | Specialist |
| G84142 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mink Radiologic Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Breast Imaging Radiologists, a Medical Group, Inc. | Diagnostic Radiology | Current | 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
- 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.
-
dba Breast Imaging Radiologists
- Diagnostic Radiology Physician
- Long Beach, CA
- NPI 1104872605
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1265485015
-
dba Outpatient Pharmacy
- Community/Retail Pharmacy
- Long Beach, CA
- NPI 1891890158
-
- Radiology Clinic/Center
- Long Beach, CA
- NPI 1831173905
-
dba BIMC Radiology
- Radiological Physics Physician
- New York, NY
- NPI 1679504203
Diagnostic Radiology
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New York, NY
- NPI 1770951204
-
dba Washington Radiology Associates, PLLC
- Specialist
- Fairfax, VA
- NPI 1215985437
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1962442012
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.