STEPHEN B. PREPAS, M.D., A MEDICAL CORPORATION (NPI# 1225242688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225242688 |
| Entity Type | Organization |
| Organization Name | STEPHEN B. PREPAS, M.D., A MEDICAL CORPORATION |
| Practice Address |
360 San Miguel Dr Suite 407 Newport Beach CA 92660-7822 |
| Mailing Address |
360 San Miguel Drive Suite 407 Newport Beach CA 92660-7822 |
| Practice Telephone | 9496447026 |
| Practice Fax Number | 9496447029 |
| Mailing Telephone | 9496447026 |
| Mailing Fax Number | 9496447029 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEPHEN B. PREPAS (PHYSICIAN) |
| Authorized Official Telephone | 9496447026 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G32851 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | G32851 | 01 |
| CA | MEDI-CAL | GR0044731 | 01 |
| CA | INDIVIDUAL PROVIDER NPI | 1023103660 | 01 |
| CA | BLUE CROSS ID | 00G328510 | 01 |
| Street Address |
360 SAN MIGUEL DR SUITE 407 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093311 | Cory Lynne Brame | Ophthalmology | 360 San Miguel Dr, Ste 307, Newport Beach, CA 92660-7829 | 2005-06-20 |
| 1740674415 | Ewelina Szymanowicz | Nurse Practitioner | 360 San Miguel Dr, Suite 309, Newport Beach, CA 92660-7853 | 2015-03-20 |
| 1215341730 | Matthew James Belmont | Physician Assistant | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2014-06-12 |
| 1336575257 | Sheets, Paquette & Wu Dental Practice | Clinic/Center | 360 San Miguel Dr, Suite 204, Newport Beach, CA 92660-7853 | 2013-09-24 |
| 1528301710 | Scott K. Forman M.d. Professional Corporation | Orthopaedic Surgery | 360 San Miguel Dr, #701, Newport Beach, CA 92660-7853 | 2013-04-05 |
| 1932444395 | Jennifer June Rhoton | Nurse Practitioner | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2012-12-11 |
| 1568717122 | Jean Chin Wu | Dentist | 360 San Miguel Dr, #204, Newport Beach, CA 92660 | 2012-07-19 |
| 1326334202 | Riviera Medical Corporation | Non-Pharmacy Dispensing Site | 360 San Miguel Dr, Suite 107, Newport Beach, CA 92660-7853 | 2011-06-20 |
| 1700188174 | Edward G. Rohaly,m.d. Inc. | Clinic/Center | 360 San Miguel Dr, Suite 309, Newport Beach, CA 92660-7829 | 2010-11-17 |
| 1093024739 | Chalinee Jill Intarachote | Physical Medicine & Rehabilitation | 360 San Miguel Dr, 301, Newport Beach, CA 92660-7853 | 2010-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346641735 | Pacific Obstetrics & Gynecology | Specialist | 496 Old Newport Blvd Ste 4, Newport Beach, CA 92663-4264 | 2014-09-04 |
| 1801239934 | Thomas James Dickinson | Specialist | 2 Oak Tree Dr, Newport Beach, CA 92660-4290 | 2013-04-08 |
| 1265703854 | Nicholas E. Rose, Md, Inc. | Specialist | 360 San Miguel Dr Ste 701, Newport Beach, CA 92660-5927 | 2012-01-13 |
| 1275803959 | Darcy Sue Flint | Specialist | 2111 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2012-01-11 |
| 1699045831 | Vahe Meghrouni | Specialist | 61 Cape Andover, Newport Beach, CA 92660-8401 | 2012-01-05 |
| 1811295835 | Darcy Debernarde | Specialist | 2902 W Coast Hwy, Newport Beach, CA 92663-4015 | 2011-03-01 |
| 1407167075 | William Roy Morgan | Specialist | 1419 Superior Avenue, Suite 2, Newport Beach, CA 92663 | 2010-06-29 |
| 1093959249 | Sheree Ann Bill | Specialist | 901 Dove St Ste 150, Newport Beach, CA 92660-3018 | 2009-04-30 |
| 1649410499 | Robert John Krogh | Specialist | 177 Riverside Avenue, Newport Beach, CA 92663-4032 | 2009-03-05 |
| 1538305842 | William Coleman Cohen | Specialist | 16 Belcourt Dr, Newport Beach, CA 92660-4215 | 2008-12-17 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on STEPHEN B. PREPAS, M.D., A MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.