Organization Active NPI

Steven P Stiles MD a Medical Corporation

  • Ophthalmology Physician
  • Tarzana, CA
National Provider Identifier
1912186495
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G14053 Issued in CA
Legal business name
STEVEN P STILES MD A MEDICAL CORPORATION
Practice address
19772 Anadale Dr
Tarzana, CA 91356-5647
Phone
(818) 996-3400
Fax
(818) 996-8643
NPI assigned
Oct 31, 2007
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Dr. Steven P Stiles, MDNPI 1770515587
Title
Owner
Phone
(818) 634-3330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G14053 CA Primary

Addresses

Primary practice location

19772 Anadale Dr
Tarzana, CA 91356-5647

Mailing address

19772 Anadale Dr
Tarzana, CA 91356-5647
Phone (818) 634-3330

Other identifiers 3

IdentifierTypeStateIssuer
00G140530MedicaidCA
G14053OtherCACA MEDICAL LICENSE
1912186495MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100924000255 CA Part B Supplier - Clinic/Group Practice 5496871758 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA; Paramount, CA; Norwalk, CA; North Hollywood, CA; Montrose, CA; Los Angeles, CA; Montebello, CA; Montclair, CA…

National Provider Directory

National Provider Directory

Locations

3825 Durfee Ave
El Monte, CA 91732
Phone (626) 444-2535

4096 Easy St
El Monte, CA 91731
Phone (626) 442-1500

2000 W Washington Blvd
Los Angeles, CA 90018
Phone (323) 212-5775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1912186495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19772 ANADALE DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565647",
            "telephone_number": "818-634-3330",
            "fax_number": "818-996-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19772 ANADALE DR",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565647",
            "telephone_number": "818-996-3400",
            "fax_number": "818-996-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN P STILES MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "STILES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-634-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G14053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G140530",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G14053",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912186495",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.