Individual provider Active NPI

Stephen Anthony Hightower, M.D.

  • Urology Physician
  • Long Beach, CA
National Provider Identifier
1972603371
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G084688 Issued in CA
Practice address
2888 Long Beach Blvd.
Suite #340
Long Beach, CA 90806-1552
Phone
(562) 595-6891
Fax
(562) 490-7271
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X G084688 CA Primary

Addresses

Primary practice location

2888 Long Beach Blvd.
Suite #340
Long Beach, CA 90806-1552

Mailing address

2888 Long Beach Blvd.
Suite #340
Long Beach, CA 90806-1552
Phone (562) 595-6891

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ75909ZMedicaidCA

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
I20120316000653 CA Practitioner - Urology 4981612280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Vermont College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grant County Public Hospital District No. 3Group PAC ID 8325937675, shared by 2 NPIs, 19 clinicians
Coast Urological Medical Group, Inc.Group PAC ID 7719871490, 2 clinicians

Practice addresses (Care Compare)

200 Nat Washington Way
Ephrata, WA 98823-1982

220 Nat Washington Way
Ephrata, WA 98823-1982
Phone (509) 754-3330

3771 Katella Ave
Suite 210
Los Alamitos, CA 90720-3118
Phone (562) 430-0581

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G084688CAMDUrology Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972603371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD.",
            "address_2": "SUITE #340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061552",
            "telephone_number": "562-595-6891",
            "fax_number": "562-490-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD.",
            "address_2": "SUITE #340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061552",
            "telephone_number": "562-595-6891",
            "fax_number": "562-490-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G084688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ75909Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.