Warren C Stout MD a Medical Corp

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9540699880 Issued in CA

Legal business name

WARREN C STOUT MD A MEDICAL CORP

Practice address

800 E. Colorado Blvd.
Suite 260
Pasadena, CA 91101

Phone

(626) 449-6494

Fax

(626) 449-0313

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Warren C. Stout, M.D.NPI 1790829208

Title

President

Phone

(310) 202-6204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

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

• Warren C Stout, M.D.

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1790829208
  Medicare reassignment Care Compare group NPD Authorized official
• Audra Yoshimura, O.D.

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1427192947
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1972647493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E. COLORADO BLVD.",
            "address_2": "SUITE 260",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-449-6494",
            "fax_number": "626-449-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E. COLORADO BLVD.",
            "address_2": "SUITE 260",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91101",
            "telephone_number": "626-449-6494",
            "fax_number": "626-449-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN C STOUT MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-202-6204",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "9540699880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Michelle Warmbier-Spina
• Janelle Jana Warmington, M.D.
• Claire Warner Crowell, MSW, ASW
• Asionna Warner
• Colleen Patricia Warnesky, PSYD
• Warren Hsiao & Ah Corp
• Emily Julia Warren
• Lisa M Warren, MFT
• Triana Warren
• Warrior Physical Therapy Inc

• Ophthalmology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.