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STEPHEN B. PREPAS M.D. A MEDICAL CORPORATION NPI 1225242688


NPI Information

NPI: 1225242688
Provider Name: STEPHEN B. PREPAS, M.D., A MEDICAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
360 SAN MIGUEL DR
SUITE 407
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 644-7026
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STEPHEN B. PREPAS, M.D., A MEDICAL CORPORATION is a specialist in Newport Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. STEPHEN B. PREPAS, M.D., A MEDICAL CORPORATION NPI is 1225242688. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

360 SAN MIGUEL DR
SUITE 407
NEWPORT BEACH, CA
ZIP 92660-822
Phone: (949) 644-7026
Fax: (949) 644-7029

The provider's authorized official is Stephen B. Prepas .
The authorized official title is Physician and has the following contact phone number (949) 644-7026.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG32851CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G32851OTHERCALIFORNIALICENSE
2GR0044731OTHERCALIFORNIAMEDI-CAL
31023103660OTHERCALIFORNIAINDIVIDUAL PROVIDER NPI
400G328510OTHERCALIFORNIABLUE CROSS ID

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: 4/28/2024

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