Stephen Manfredi, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G31935 Issued in CA

Practice address

1117 E Devonshire Ave
Hemet, CA 92543-3083

Phone

(909) 652-2811

NPI assigned

Jul 18, 2006

Last updated

Aug 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hemet Emergency Med Group @ Menifee Hospital

  • Emergency Medicine Physician
  • Sun City, CA
  • NPI 1265620090
  NPD (past)
• Hemet Emergency Medical Group

  • Emergency Medicine Physician
  • Hemet, CA
  • NPI 1871538579
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1871511667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 57351",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900747351",
            "telephone_number": "800-818-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E DEVONSHIRE AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433083",
            "telephone_number": "909-652-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANFREDI",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G31935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G31935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G319350",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G319350",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIVERSIDE CO",
            "identifier": "G31935",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maloo - Chicas Professional Dental Corp (Dental Dreams Dental Practice of Maloo - Chicas)
• Mama Angelina Coconocho LLC
• Mama Dee's Birth and Postpartum Doula Service's (none)
• Mamad Bagheri MD Inc
• Mallory Ann Manahan, MSW, ASW
• Manikanda Raja MD a Professional Medical Corporation
• Manor Care of Hemet Ca LLC (ManorCare Health Services)
• Gina Marbury
• Alan Mare, M.D.
• Galeh Harout Margossian, DO

• Emergency Medicine Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.