Active NPI
Stephen E. White, P.A.-C.
- Physician Assistant
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 53342
- Practice address
- 22 Corporate Plaza Dr
Newport Beach, CA 92660 - Phone
- (949) 722-5017
- Fax
- (949) 432-3354
- NPI assigned
- Jun 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110004697 | VA | |
| Physician Assistant | 363A00000X | PA031038 | DC | |
| Physician Assistant | 363A00000X | C0005385 | MD | |
| Surgical Physician Assistant | 363AS0400X | C05385 | MD | |
| Physician Assistant | 363A00000X | 53342 | CA | Primary |
Addresses
Primary practice location
22 Corporate Plaza Dr
Newport Beach, CA 92660
Mailing address
1975 Sherington PL Apt H112
Newport Beach, CA 92663-6090
Phone (401) 523-3545
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Univeristy of Texas Rio Grande Valley Med School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825
2110 W Sunset Blvd
Suite M
Los Angeles, CA 90026-7318
Phone (833) 873-2852
3032 Wilshire Blvd
Suite a
Santa Monica, CA 90403-2370
Phone (310) 971-9957
3851 Katella Ave
Suite 100
Los Alamitos, CA 90720-3385
Phone (562) 430-4138
4415 W Pico Blvd
Los Angeles, CA 90019-4242
Phone (323) 551-9826
4550 Van Nuys Blvd
Suite A4
Sherman Oaks, CA 91403-2844
Phone (818) 514-3631
4700 W Pico Blvd
Suite G 5
Los Angeles, CA 90019-4267
Phone (323) 840-1343
555 E Ocean Blvd
Suite 110
Long Beach, CA 90802-5084
Phone (562) 285-5050
8900 Venice Blvd
Suite 109
Culver City, CA 90232-2361
Phone (424) 282-5696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53342 | CA | MD | Physician Assistant |
| PA031038 | DC | MD | Physician Assistant |
| C0005385 | MD | MD | Physician Assistant |
| 0110004697 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Orthopaedic Specialty Center | Past | Accepting new patients | |
| Orthopaedic Specialty Center | Past | Accepting new patients | |
| Capital Orthopaedic Specialists LLC | Past | Accepting new patients |
Locations
7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501
2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990
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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-
- Urgent Care Clinic/Center
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- NPI 1417294232
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
-
- Orthopaedic Surgery Physician
- Clinton, MD
- NPI 1336589431
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1043553092
-
- Orthopaedic Surgery Physician
- Towson, MD
- NPI 1518090851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1871907105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 SHERINGTON PL APT H112",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926636090",
"telephone_number": "401-523-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CORPORATE PLAZA DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92660",
"telephone_number": "949-722-5017",
"fax_number": "949-432-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "STEPHEN",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-14",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110004697",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA031038",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0005385",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "MD",
"license": "C05385",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "53342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.