Stephan T. Honda, MD Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

G069860 Issued in CA

Legal business name

STEPHAN T. HONDA, MD INC

Practice address

2301 W El Segundo Blvd
Hawthorne, CA 90250-3315

Phone

(323) 757-2118

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephan T Honda I, M.D.NPI 1295936615

Title

Medical Director

Phone

(323) 757-2118

Specialties & licenses 2

Addresses

Other names 1

• BAYSIDE MEDICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 10

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

• Stephan T Honda, M.D.

  • Adult Medicine Physician
  • Hawthorne, CA
  • NPI 1295936615
  Medicare reassignment Authorized official
• Rhonda Beth Infante, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Hawthorne, CA
  • NPI 1760260392
  NPD
• Dannylyn Joy Kwak

  • Physical Therapist
  • Hawthorne, CA
  • NPI 1538708136
  NPD
• Michelle Hiromi Siu

  • Physician Assistant
  • Hawthorne, CA
  • NPI 1154815884
  NPD
• Keara Williams, NP

  • Family Nurse Practitioner
  • Little Elm, TX
  • NPI 1659024222
  NPD
• Katherine Mie Brechtelsbauer, PA-C

  • Physician Assistant
  • Hawthorne, CA
  • NPI 1821325515
  NPD (past)
• Danyl L Fakhrutdinov, PA-C

  • Physician Assistant
  • Mission Hills, CA
  • NPI 1699318014
  NPD (past)
• Trenton Honda, PA-C

  • Physician Assistant
  • Hawthorne, CA
  • NPI 1710212519
  NPD (past)
• Christopher Hung, PA

  • Physician Assistant
  • Irwindale, CA
  • NPI 1790250603
  NPD (past)
• Reshma Patel, PA-C

  • Physician Assistant
  • Culver City, CA
  • NPI 1568651743
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1962586883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W EL SEGUNDO BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503315",
            "telephone_number": "323-757-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W EL SEGUNDO BLVD",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902503315",
            "telephone_number": "323-757-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHAN T. HONDA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "HONDA",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-757-2118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "G069860",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYSIDE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BAYSIDE MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Starks, FNP-C
• Starlight Mental Health Solutions
• Christan Starling
• Lauren Starnes
• State-of-the-Art Technologies Inc.
• Irene Stephan
• Brianna Leigh Stevens, PT, DPT
• Kristen Stevens
• Kayla Stewart
• Tahira Stewart, M.D.

• Health Service Clinic/Center in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.