Stephen Erwin Prover, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A034057 Issued in CA

Practice address

23326 Hawthorne Blvd
Suite #375
Torrance, CA 90505-3725

Phone

(310) 373-0527

Fax

(310) 373-6915

NPI assigned

Apr 12, 2006

Last updated

May 7, 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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Bay Psychiatric Medical Group

  • Specialist
  • Torrance, CA
  • NPI 1679537203
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241654400000",
    "number": "1902860539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD",
            "address_2": "SUITE #375",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053725",
            "telephone_number": "310-373-0527",
            "fax_number": "310-373-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23326 HAWTHORNE BLVD",
            "address_2": "SUITE #375",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053725",
            "telephone_number": "310-373-0527",
            "fax_number": "310-373-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVER",
        "first_name": "STEPHEN",
        "middle_name": "ERWIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2009-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A034057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W9172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Props-Moyer
• Tatyana Prosolupova
• Prosperous Corp of America
• Prosthetic & Orthotic Group, Inc
• Protestant John Calvin Medical Center
• Providence Health System - Southern California (Povidence Home Health la County South)
• Providence Health System Southern California (Providence Little Company of Mary Medical Center Torrance Pharmacy)
• Providence Health System Southern California (Providence Little Company of Mary Medical Center Torrance)
• Providence Health System Southern California (Providence Little Company of Mary Transitional Care Center)
• Providence Health System Southern California Dba LCM Subacute Care Ctr (Bay Harbor Rehab. Center Pharmacy)

• Specialist in Torrance, CA
• Providers in Torrance, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.