Individual provider Active NPI

Dustin Erin Stevenson, D.O.

  • Hematology & Oncology Physician
  • Santa Maria, CA
National Provider Identifier
1962610279
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
20A12043 Issued in CA
Practice address
1325 E Church St Ste 301
Santa Maria, CA 93454-5915
Phone
(805) 349-9393
Fax
(805) 349-1155
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 20A12043 CA Primary

Addresses

Primary practice location

1325 E Church St Ste 301
Santa Maria, CA 93454-5915

Mailing address

1400 E Church St
Medical Staff Office
Santa Maria, CA 93454
Phone (805) 739-3114

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120910000850 CA Practitioner - Hematology/OncologyPractitioner - Gastroenterology 3870741226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin J Ma MD a Professional CorporationGroup PAC ID 8325934482, 12 clinicians

Practice addresses (Care Compare)

8339 Brimhall Rd
Suite 1302
Bakersfield, CA 93312-4088
Phone (661) 490-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A12043CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians Hematology & Oncology CurrentSince Jul 1, 2012 Accepting new patients
Pih Health Physicians Current Accepting new patients
Pih Health Physicians CurrentSince Jul 1, 2012 Accepting new patients
Austin J Ma, M.D., a Professional Corporation Hematology & Oncology CurrentSince Feb 17, 2025 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Yakima Valley Memorial Hospital Association Past Accepting new patients

Locations

8339 Brimhall Rd
Ste 1302
Bakersfield, CA 93312
Phone (661) 490-9595

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1700 E Cesar E Chavez Ave
Ste 3500
Los Angeles, CA 90033
Phone (323) 264-0430

1700 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 264-0430

1851 Lombard St
Ste 105
Oxnard, CA 93030
Phone (805) 278-5950

71777 San Jacinto Dr
Ste 1
Rancho Mirage, CA 92270
Phone (760) 969-6505

12522 Lambert Rd
Ste B
Whittier, CA 90606
Phone (562) 693-6011

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ef853cc1-94e4-4ed7-883a-9be7485e458e/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1962610279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "805-739-3114",
            "fax_number": "805-739-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E CHURCH ST STE 301",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545915",
            "telephone_number": "805-349-9393",
            "fax_number": "805-349-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "DUSTIN",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "20A12043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.