Organization Active NPI

Stephanie McClellan, MD, Inc.

  • Gynecology Physician
  • Newport Beach, CA
National Provider Identifier
1912943994
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
STEPHANIE MCCLELLAN, MD, INC.
Practice address
1441 Avocado Ave Ste 205
Newport Beach, CA 92660-7703
Phone
(949) 719-3600
Fax
(949) 644-7344
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Stephanie N McClellan, M.D.NPI 1679523914
Title
Founder
Phone
(949) 719-3600

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

1441 Avocado Ave Ste 205
Newport Beach, CA 92660-7703

Mailing address

1441 Avocado Ave Ste 205
Newport Beach, CA 92660-7703
Phone (949) 719-3600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1912943994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607703",
            "telephone_number": "949-719-3600",
            "fax_number": "949-644-7344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE STE 205",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607703",
            "telephone_number": "949-719-3600",
            "fax_number": "949-644-7344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE MCCLELLAN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "949-719-3600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "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 Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.