Individual provider Active NPI

Stephanie K Murphy, PA-C, ATC

  • Surgical Physician Assistant
  • Rancho Santa Margarita, CA
National Provider Identifier
1891872438
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA53426 Issued in CA
Practice address
22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804
Phone
(855) 727-2251
Fax
(855) 727-2251
NPI assigned
Nov 1, 2006
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA53426 CA Primary
Athletic Trainer 2255A2300X 060002291 CA

Addresses

Primary practice location

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804

Mailing address

22431 Antonio Pkwy # B160-613
Rancho Santa Margarita, CA 92688-2804
Phone (833) 477-2677

Other names 1

  • Stephanie K Wichmann Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913001435 CA Practitioner - Physician Assistant 0547349581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Service Partners IncGroup PAC ID 0648557363, 10 clinicians

Practice addresses (Care Compare)

1100 W Stewart Dr
Orange, CA 92868-3849
Phone (833) 477-2677

27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (833) 477-2677

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
060002291CAMDAthletic Trainer
PA53426CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Assistant Specialists-California Inc Surgical CurrentSince Sep 1, 2023 Accepting new patients
Orthopedic & Sportsmedicine Clinic of Fairbanks LLC PastSince Jun 12, 2022 Accepting new patients

Locations

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

22431 Antonio Pkwy
#B160613
Rcho Sta Marg, CA 92688
Phone (833) 477-2677

Organizations & group practices 3

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 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1891872438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-613",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "833-477-2677",
            "fax_number": "833-477-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22431 ANTONIO PKWY # B160-613",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882804",
            "telephone_number": "855-727-2251",
            "fax_number": "855-727-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA53426",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "060002291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WICHMANN",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.