Individual provider Active NPI

Stephen J Georgiou, MD

  • Obstetrics & Gynecology Physician
  • Los Banos, CA
National Provider Identifier
1851465256
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OG816740 Issued in CA
Practice address
502 Washington Ave
Los Banos, CA 93635-4649
Phone
(209) 826-4771
Fax
(206) 826-8565
NPI assigned
Nov 17, 2006
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G81674 CA
Obstetrics & Gynecology Physician 207V00000X OG816740 CA Primary

Addresses

Primary practice location

502 Washington Ave
Los Banos, CA 93635-4649

Mailing address

502 Washington Ave
Los Banos, CA 93635-4649
Phone (209) 826-4771

Other practice location 1

900 I St
Los Banos, CA 93635-4313
Phone (209) 752-7135

Other identifiers 1

IdentifierTypeStateIssuer
00G816740MedicaidCA

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
I20090912000122 CA Practitioner - Obstetrics/Gynecology 8224192422 Reassigns benefits to 2 organizations
Practice locations: Los Banos, CA

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Francisco School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

502 Washington Ave
Los Banos, CA 93635-4649
Phone (209) 826-4771

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81674CAMDObstetrics & Gynecology Physician
OG816740CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jun 1, 2023 Accepting new patients
Stephen J. Georgiou MD, a Professional Corporation Obstetrics & Gynecology Current Accepting new patients
Valley Wound Healing Center, Inc. CurrentSince Mar 9, 2019 Accepting new patients
Memorail Hospital of Los Banos Past Accepting new patients
Stanislaus Surgical Hospital LLC PastSince Mar 9, 2019 Accepting new patients
Acute Care Surgery Medical Group, Inc. PastSince Aug 1, 2023 Accepting new patients
Surgical Affiliates of California PastSince Apr 1, 2019 Accepting new patients

Locations

900 I St
Los Banos, CA 93635
Phone (209) 752-7135

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

4335 N Star Way
Ste A
Modesto, CA 95356
Phone (209) 342-5125

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/stanish-82a0e7a0
  • Direct secure messaging: sgeorgiou29327@hisp.ehr.sutterhealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1851465256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WASHINGTON AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354649",
            "telephone_number": "209-826-4771",
            "fax_number": "209-826-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WASHINGTON AVE",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354649",
            "telephone_number": "209-826-4771",
            "fax_number": "206-826-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936354313",
            "country_code": "US",
            "telephone_number": "209-752-7135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEORGIOU",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G81674",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "OG816740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G816740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.