Stephen John Groth, MD

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

G36991 Issued in CA

Practice address

554 Diamond St
Laguna Beach, CA 92651-3404

Phone

(949) 306-7383

Fax

(949) 497-1141

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349481600000",
    "number": "1982762761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 DIAMOND ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513404",
            "telephone_number": "949-306-7383",
            "fax_number": "949-497-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 DIAMOND ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513404",
            "telephone_number": "949-306-7383",
            "fax_number": "949-497-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G36991",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G36991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G369910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Gonzalez
• Allison Susan Goode
• Seymour F Gorelick, M.D.
• Amy Graboske
• Olivia Granados, RN
• Grounded in Tech, LLC
• Dayne Michael Grove, N.D.
• GT Healthcare
• Ana Maria Guerrero, L.AC.
• Belen Gabriela Guillen, MFT INTERN

• Addiction Medicine (Family Medicine) Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2012; 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.