MR. KYLE BRADLEY STEPHENS (NPI# 1205204518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205204518 |
| Entity Type | Individual |
| Full Name | MR. KYLE BRADLEY STEPHENS |
| Credential | D.O. |
| Practice Address |
168 N Brent St Ste 502 Ventura CA 93003-2840 |
| Practice Telephone | 8056412000 |
| Mailing Telephone | 8056412000 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2018-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20A14217 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7500 Hospital Dr, Sacramento, CA 958235403 | 9166811900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364927 | Kyle D Stephens | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2019-12-26 |
| 1225471022 | Kyle Jay Stephens | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # 41, Tampa, FL 33612-4742 | 2013-04-10 |
| 1407114069 | Kyle A Stephens | Behavioral Analyst | 320 Main St, Shelbyville, KY 40065-1026 | 2012-05-01 |
| 1083856009 | Kyle R. Stephens | Orthopaedic Surgery | 1004 Cornerstone Dr, Paris, TN 38242-5847 | 2009-04-06 |
| 1700084522 | Kyle Wayne Stephens | Internal Medicine | 2060 Space Park Dr, Suite 100, Houston, TX 77058-3600 | 2007-07-03 |
| Street Address |
168 N BRENT ST STE 502 |
| City | VENTURA |
| State | CA |
| Zip Code | 93003-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245243906 | Sunita Angela Sujanani | Family Medicine | 168 N Brent St Ste 502, Ventura, CA 93003-2840 | 2006-08-14 |
| 1164997086 | Ivonne E Reyes | Nurse Practitioner | 168 N Brent St Ste 502, Ventura, CA 93003-2840 | 2018-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124645924 | Community Memorial Health System | Pharmacy | 2790 Loma Vista Road, Ventura, CA 93003 | 2020-06-29 |
| 1730702952 | Sarah Manon Begert | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave., Bldg 340, Ste 201, Ventura, CA 93003 | 2020-05-21 |
| 1033763677 | Ashley Danielle Aguilar | Counselor | 5740 Ralston Suite 100, Ventura, CA 93003 | 2019-08-01 |
| 1730747239 | Azadeh Ellsworth | Nurse Practitioner | 1752 S Victoria Ave Ste 250, Ventura, CA 93003 | 2019-05-31 |
| 1992275556 | Melissa Marie Cole | Social Worker | 4949 Market St, Ventura, CA 93003 | 2018-11-27 |
| 1851868400 | Weldon Acupuncture Professional Corporation | Acupuncturist | 3737 Telegraph Road, Suite F, Ventura, CA 93003 | 2018-10-31 |
| 1952876468 | Isabella Florencia Gallegos | Specialist/Technologist | 1857 Knoll Dr., Ventura, CA 93003 | 2018-10-11 |
| 1437645421 | Jill Huang Wong | Psychologist | 3585 Maple St Ste 248, Ventura, CA 93003 | 2018-07-02 |
| 1346735156 | Lisa Ngoc Thi Nguyen | Student in an Organized Health Care Education/Training Program | 147 N. Brent Street, Ventura, CA 93003 | 2018-06-25 |
| 1457845331 | Khloe Frank | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003 | 2018-06-14 |
| Find all providers in zip 93003 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841640919 | Sa Vanna Baker Leyva | Family Medicine | 143 Shamrock Dr, Ventura, CA 93003-3148 | 2016-06-20 |
| 1548654296 | Victor Duong | Family Medicine | 2772 Johnson Dr Ste 200, Ventura, CA 93003-7262 | 2015-03-20 |
| 1720322613 | Philip Alva Schofield | Family Medicine | 648 Via Ondulando, Ventura, CA 93003-1327 | 2012-11-16 |
| 1063732758 | Ian Wallace | Family Medicine | 3291 Loma Vista Rd Rm 120, Ventura, CA 93003-3099 | 2010-06-04 |
| 1598928962 | Steve K Jones M.d.,inc | Family Medicine | 7721 Redondo St, Ventura, CA 93004-3813 | 2008-07-07 |
| 1508028192 | David T Perlmutter | Family Medicine | 7916 Stone St, Ventura, CA 93004-4025 | 2008-06-25 |
| 1245376854 | J Bruce Barbosa | Family Medicine | 2945 Loma Vista Road, Ventura, CA 93003-2915 | 2007-01-30 |
| 1932251436 | Jeffrey King, Md, A Professional Corporation | Family Medicine | 3438 Loma Vista Rd, Ventura, CA 93003-3026 | 2007-01-17 |
| 1053477646 | Wendy Francke | Family Medicine | 133 W Santa Clara St, Ventura, CA 93001-2543 | 2006-12-28 |
| 1104988898 | Desiree Domingo-foraste | Family Medicine | 970 Petit Ave Ste D, Ventura, CA 93004-2215 | 2006-12-16 |
| Find all providers in VENTURA | ||||
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| 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.