DR. STEPHEN JOHN GROTH MD NPI 1982762761

NPI Information

NPI: 1982762761
Provider Name: DR. STEPHEN JOHN GROTH, MD
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

Address:
554 DIAMOND ST
LAGUNA BEACH, CA
ZIP 92651
Phone: (949) 306-7383
Get Directions

DR. Stephen John Groth, MD is an addiction medicine family medicine in Laguna Beach, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Stephen John Groth, MD NPI is 1982762761. 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:

554 DIAMOND ST
LAGUNA BEACH, CA
ZIP 92651-404
Phone: (949) 306-7383
Fax: (949) 497-1141

The enumeration date for this NPI number is 12/5/2006 and was last updated on 10/6/2012.

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
1	207P00000X	Emergency Medicine		G36991	CALIFORNIA	No
2	207QA0401X	Family Medicine	Addiction Medicine	G36991	CALIFORNIA	Yes

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
1	B55834	MEDICARE UPIN	CALIFORNIA
2	00G369910	MEDICAID	CALIFORNIA
3	WG36991A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

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

NPI Synchronization or Removal

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