GERALD STEVENS M.D. NPI 1104878040

NPI Information

  • NPI: 1104878040
  • Provider Name: GERALD STEVENS, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 31872 SOUTH COAST HIGHWAY
    LAGUNA BEACH, CA
    ZIP 92651
  • Phone: (949) 499-7195

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NPI Details

Gerald Stevens, M.D. is a diagnostic radiology radiology in Laguna Beach, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Gerald Stevens, M.D. NPI is 1104878040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

31872 SOUTH COAST HIGHWAY
LAGUNA BEACH, CA
ZIP 92651
Phone: (949) 499-7195

The enumeration date for this NPI number is 5/17/2006 and was last updated on 11/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA42565CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A426570OTHERCALIFORNIABLUE SHIELD
2WA42657AMEDICARE PINCALIFORNIA
3WA42657BMEDICARE PINCALIFORNIA
4A29618MEDICARE UPIN
5WA42657IMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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