DR. STAVROULA ANASTASIA OTIS (NPI# 1477677557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477677557 |
| Entity Type | Individual |
| Full Name | DR. STAVROULA ANASTASIA OTIS |
| Other Name | DR. STEVIE ANN OTIS |
| Credential | M.D. |
| Practice Address |
1401 N Tustin Ave Ste 220 Santa Ana CA 92705-8689 |
| Practice Telephone | 7148354800 |
| Practice Fax Number | 7148351900 |
| Mailing Telephone | 3233768936 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A100358 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1401 N TUSTIN AVE STE 220 |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-8689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598244634 | Susan Hampton-ash | Nurse Practitioner | 1401 N Tustin Ave Ste 220, Santa Ana, CA 92705-8689 | 2018-08-09 |
| 1134611320 | Kaitlin Amanda Jones | Physician Assistant | 1401 N Tustin Ave Ste 220, Santa Ana, CA 92705-8689 | 2018-06-04 |
| 1083132625 | Center for Cancer and Blood Disorders | Internal Medicine | 1401 N Tustin Ave Ste 220, Santa Ana, CA 92705 | 2017-09-05 |
| 1740495951 | Pcrc Inc | Ophthalmology | 1401 N Tustin Ave Ste 220, Santa Ana, CA 92705-8689 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366614620 | Peter T Otis | Internal Medicine | 1301 Arroyo Lindo Drive, Santa Ana, CA 92705-3054 | 2008-03-27 |
| 1083132625 | Center for Cancer and Blood Disorders | Internal Medicine | 1401 N Tustin Ave Ste 220, Santa Ana, CA 92705 | 2017-09-05 |
| 1730416298 | Orange County Hematology-oncology Medical Group PC | Internal Medicine | 1401 N Tustin Ave, 220, Santa Ana, CA 92705-8644 | 2009-11-04 |
| 1104040674 | Edward R. Alexson, M.d.,inc | Internal Medicine | 1401 N Tustin Ave, Suite A, Santa Ana, CA 92705-8689 | 2007-04-13 |
| 1093748691 | Nabil Phillips Md Inc | Internal Medicine | 1100 N Tustin Ave, Suite A, Santa Ana, CA 92705-3509 | 2006-07-08 |
| 1154363141 | Edward Robert Alexson | Internal Medicine | 1401 N Tustin Ave, Suite 220, Santa Ana, CA 92705-8689 | 2006-06-12 |
| 1043276405 | Nabil A Phillips | Internal Medicine | 1100 N Tustin Ave, Suite A, Santa Ana, CA 92705-3509 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. STAVROULA ANASTASIA OTIS.
| 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.