DR. STEPHEN JOHN GROTH (NPI# 1982762761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982762761 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN JOHN GROTH |
| Credential | MD |
| Practice Address |
554 Diamond St Laguna Beach CA 92651-3404 |
| Practice Telephone | 9493067383 |
| Practice Fax Number | 9494971141 |
| Mailing Telephone | 9493067383 |
| Mailing Fax Number | 9494971141 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2012-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | G36991 | CA | Allopathic & Osteopathic Physicians |
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
G36991 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G369910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598092793 | Stephen James Groth | Pharmacist | S 5970 County N, Viroqua, WI 54665 | 2009-11-09 |
| Street Address |
554 DIAMOND ST |
| City | LAGUNA BEACH |
| State | CA |
| Zip Code | 92651-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
| 1871154526 | Jinyi Bae | Psychiatry & Neurology | 31872 Coast Highway, Behavioral Health Unit, Laguna Beach, CA 92651 | 2019-06-24 |
| 1790348209 | Karen Veseth | Pharmacist | 30842 South Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-04-19 |
| 1629536602 | Briana Kim | Pharmacist | 30842 S Pacific Coast Highway, Laguna Beach, CA 92651 | 2019-03-08 |
| 1295246288 | Priscilla Newton | Marriage & Family Therapist | 1427 Catalina, Laguna Beach, CA 92651 | 2017-10-17 |
| 1659723609 | Kassie Claughton | Social Worker | 1986 S Coast Hwy, Suite 1600, Laguna Beach, CA 92651 | 2016-07-01 |
| 1285029629 | Kathleen Susan Wenger | Counselor | 1550 South Pacific Coast Highway, #205, Laguna Beach, CA 92651 | 2015-04-02 |
| 1316350044 | Marcus D Yetter | Podiatrist | 31852 Coast Hwy Ste 105, Laguna Beach, CA 92651 | 2014-06-10 |
| 1891105854 | Connie Lee Bird | Social Worker | 332 Forest Ave #21, Laguna Beach, CA 92651 | 2014-04-30 |
| 1578989745 | Ana Maria Guerrero | Acupuncturist | 1100 South Coast Highway # 215, Laguna Beach, CA 92651 | 2014-03-12 |
| Find all providers in zip 92651 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609992171 | Kenneth Kambiz Gheysar | Family Medicine | 1100 S Coast Hwy, Suite 204, Laguna Beach, CA 92651-2968 | 2007-03-22 |
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|---|---|---|---|---|
| 1194332726 | True North Detox LLC | Family Medicine | 2413 Whitmore Ave, Clovis, CA 93619-9252 | 2020-09-28 |
| 1639717473 | Michael Stone Md Inc | Family Medicine | 1950 E 17th St Ste 101, Santa Ana, CA 92705-6852 | 2019-12-11 |
| 1720624497 | Marina Harbor Detox | Family Medicine | 289 Marina Blvd, San Francisco, CA 94123-1212 | 2019-11-18 |
| 1093363848 | Anthony Martin Ocana | Family Medicine | 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292-6018 | 2019-08-26 |
| 1821640137 | L Snyder Incorporated | Family Medicine | 34052 La Plaza #101, Dana Point, CA 92629 | 2019-07-16 |
| 1720645328 | Creative Child and Family Services, Inc. | Family Medicine | 7049 Ohio River Dr, Eastvale, CA 91752 | 2019-05-20 |
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1629550660 | University of California Sfgh Medical Group | Family Medicine | 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 | 2018-09-06 |
| 1952809592 | Sunrise Health & Wellness Center, LLC | Family Medicine | 10089 Folsom Blvd. Suites A & C, Rancho Cordova, CA 95670-1935 | 2018-01-29 |
| 1487166120 | Good Samaritan Shelter | Family Medicine | 412 East Tunnell Street, Santa Maria, CA 93454 | 2017-11-03 |
| Find all providers with the same taxonomy | ||||
| City | LAGUNA BEACH |
| Zip Code | 92651 |
Please comment or provide details below to improve the information on DR. STEPHEN JOHN GROTH.
| 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.