Individual provider Active NPI

Tigran Stepanyan, D.O.

  • Pulmonary Disease Physician
  • Yucaipa, CA
National Provider Identifier
1982906756
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
FS2563559 Issued in CA
Practice address
33758 Yucaipa Blvd
Yucaipa, CA 92399-2243
Phone
(909) 795-9747
NPI assigned
Nov 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A11674 CA
Pulmonary Disease Physician 207RP1001X FS2563559 CA Primary
Internal Medicine Physician 207R00000X 20A11674 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X FS2563559 CA
Pulmonary Disease Physician 207RP1001X 20A11674 CA

Addresses

Primary practice location

33758 Yucaipa Blvd
Yucaipa, CA 92399-2243

Mailing address

2110 Canyon View LN
Redlands, CA 92373-6972

Other practice location 1

4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312
Phone (951) 781-3672

Other practice location 2

2 W Fern Ave
Redlands, CA 92373-5916
Phone (909) 793-3311

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
I20120130000927 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 5395902589 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Quantum Healthcare Medical Associates IncGroup PAC ID 5294647574, 109 clinicians
El-Bershawi Medical CorpGroup PAC ID 9032298492, 44 clinicians
Critical Care Consultants of Burbank Inc.Group PAC ID 6709306152, 8 clinicians
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

4234 Riverwalk Pkwy
Suite 230
Riverside, CA 92505-3312
Phone (951) 781-3672

501 S Buena Vista St
Burbank, CA 91505-4809
Phone (818) 842-4819

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000

Hospital & facility affiliations

  • Providence Saint Joseph Medical Ctr Hospital, Burbank, CA, CCN 050235
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • Arrowhead Regional Medical Center Hospital, Colton, CA, CCN 050245
  • Kaiser Foundation Hospital Fontana/Ontario Hospital, Fontana, CA, CCN 050140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A11674CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C Internal Medicine CurrentSince May 18, 2018 Accepting new patients
Pih Health Physicians CurrentSince Oct 20, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 23, 2023 Accepting new patients
Willow Brook Critical Care Medical Group, Inc Hospitalist CurrentSince Oct 1, 2023 Accepting new patients
Pih Health Physicians Current Accepting new patients
El-Bershawi Medical Corp Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Pih Health Physicians Internal Medicine CurrentSince Oct 20, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Clinic Services of California Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Beaver Medical Group P C CurrentSince May 18, 2018 Accepting new patients
Critical Care Consultants of Burbank Inc. Critical Care Medicine CurrentSince Dec 5, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 23, 2023 Accepting new patients
Pacific Professional Surgical Group Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Beaver Medical Group P C Internal Medicine Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

Locations

501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800

201 S Buena Vista St
Ste 440
Burbank, CA 91505
Phone (818) 500-0935

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874

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

393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4234 Riverwalk Pkwy
Ste 120
Riverside, CA 92505
Phone (909) 418-2700

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

33758 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 795-9747

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 5

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": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1982906756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 CANYON VIEW LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923736972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33758 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992243",
            "telephone_number": "909-795-9747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4234 Riverwalk Pkwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053312",
            "country_code": "US",
            "telephone_number": "951-781-3672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 W Fern Ave",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923735916",
            "country_code": "US",
            "telephone_number": "909-793-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPANYAN",
        "first_name": "TIGRAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A11674",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "FS2563559",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A11674",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "FS2563559",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "20A11674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

Verify at the official NPI Registry.