Cary Stewart MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A69557 Issued in CA

Legal business name

CARY STEWART MD INC

Practice address

1001 Avenida Pico
Suite C
San Clemente, CA 92673-6957

Phone

(949) 542-6154

Fax

(949) 542-7154

NPI assigned

Sep 30, 2006

Organization subpart

No

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

Authorized official

Name

Cary C Stewart, MD, PHDNPI 1184690901

Title

President

Phone

(949) 542-6154

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Cary Stewart MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cary Stewart MD Inc

  • Rural Health Clinic/Center
  • Big Bear Lake, CA
  • NPI 1275998411
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cary C Stewart, M.D.

  • Internal Medicine Physician
  • San Clemente, CA
  • NPI 1184690901
  Medicare reassignment Authorized official
• Jeffrey D Orr, MD

  • Family Medicine Physician
  • Big Bear Lake, CA
  • NPI 1336401702
  Medicare reassignment NPD

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1902998313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO",
            "address_2": "SUITE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736957",
            "telephone_number": "949-542-6154",
            "fax_number": "949-542-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO",
            "address_2": "SUITE C",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736957",
            "telephone_number": "949-542-6154",
            "fax_number": "949-542-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARY STEWART MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-542-6154",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A69557",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A69557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A695570",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEMBER ID",
            "identifier": "WA69557B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Carollo, MFT
• Anne Elizabeth Carroll-Amerine
• Laurie Kay Carson, FNP
• Alisa Arielle Carstens
• Abbey Karoline Carter, B.S. CCC-SLP
• Julie Case, LMT
• Castillo Dental Inc.
• Catch a Wave Physical Therapy
• Lori Marie Cattern, C.A.T.C.
• Cep America - California

• Internal Medicine Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.