Individual provider Active NPI

Stephen Alden Hockenbury, MD

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1972687101
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A65864 Issued in CA
Practice address
1601 Dove St
Suite 230
Newport Beach, CA 92660-1423
Phone
(949) 837-7226
Fax
(949) 475-1601
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A65864 CA Primary

Addresses

Primary practice location

1601 Dove St
Suite 230
Newport Beach, CA 92660-1423

Mailing address

177 Riverside Ave
Suite F
Newport Beach, CA 92663-4032
Phone (949) 837-7226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65864CAMDPharmacist
A65864CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1972687101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 RIVERSIDE AVE",
            "address_2": "SUITE F",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634032",
            "telephone_number": "949-837-7226",
            "fax_number": "949-475-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST",
            "address_2": "SUITE 230",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601423",
            "telephone_number": "949-837-7226",
            "fax_number": "949-475-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKENBURY",
        "first_name": "STEPHEN",
        "middle_name": "ALDEN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A65864",
            "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 Nov 22, 2011; 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.