Kenneth Robert Stiver, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G28027 Issued in CA

Practice address

8585 Harborview Rd Unit 6
Blaine, WA 98230-9684

Phone

(707) 832-3734

NPI assigned

Aug 1, 2007

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Chase Dennis Emergency Medical Group Inc

  • Emergency Medicine Physician
  • Santa Rosa, CA
  • NPI 1033152350
  NPD (past)

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1992995252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 HARBORVIEW RD UNIT 6",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309684",
            "telephone_number": "707-832-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 HARBORVIEW RD UNIT 6",
            "city": "BLAINE",
            "state": "WA",
            "postal_code": "982309684",
            "telephone_number": "707-832-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIVER",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": "MD60996184",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G28027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G280270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sound Home Care LLC
• Sukhdeep Kaur Sran, FNP-C
• Justin St Pierre, MA, LMHCA
• Donald E Staal, MA,CDP,LMFT
• Kristen Stamback, RN
• Megan Elizabeth Stonelake, M.A.
• Nicole Szostak
• Elizabeth Rose Taets Von Amerongen, LPC
• The Evangelical Lutheran Good Samaritan Society
• The Evangelical Lutheran Good Samaritan Society

• Emergency Medicine Physician in Blaine, WA
• Providers in Blaine, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.