DERRICK STEPHAN, PA-C INC. (NPI# 1598234452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598234452 |
| Entity Type | Organization |
| Organization Name | DERRICK STEPHAN, PA-C INC. |
| Practice Address |
229 Rhythm Irvine CA 92603-4254 |
| Practice Telephone | 9493383133 |
| Practice Fax Number | 9492668586 |
| Mailing Telephone | 9493383133 |
| Mailing Fax Number | 9492668586 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | DERRICK STEPHAN (OWNER/PROVIDER) |
| Authorized Official Telephone | 9493383133 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PAC SURGICAL | Doing Business As Name - Organization |
| Street Address |
229 RHYTHM |
| City | IRVINE |
| State | CA |
| Zip Code | 92603-4254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528408556 | Southern California Assistant Surgeons Inc. | Surgery | 229 Rhythm, Irvine, CA 92603-4254 | 2013-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730553173 | Darlene Vuong | Physician Assistant | 17 Skycrest, Irvine, CA 92603 | 2015-11-23 |
| 1275762049 | Linda Reyna | Social Worker | 166 Stonecliffe Aisle, Irvine, CA 92603 | 2009-07-14 |
| 1154568350 | Roshny Antony Pattathu | Internal Medicine | 17 Momento, Irvine, CA 92603 | 2009-01-10 |
| 1225201452 | Lida Araghi | Internal Medicine | 5 Purple Sage, Irvine, CA 92603 | 2008-04-09 |
| 1437371309 | Nirvana Tehranian | Naturopath | 637 Turtle Crest Dr., Irvine, CA 92603 | 2007-05-02 |
| 1417178450 | Fredric Richmond | Psychologist | 18971 Antioch Drive, Irvine, CA 92603 | 2007-05-01 |
| 1912497967 | Yong Soo Chang | Dentist | 7 Sunstream, Irvine, CA 92603 | 2018-05-15 |
| 1982066817 | Gretchen Lee | Pharmacist | 6775 Quail Hill Pkwy, Irvine, CA 92603 | 2016-03-21 |
| 1740368646 | Banafsheh B Shaibani | Family Medicine | 48 Arborside, Irvine, CA 92603-0111 | 2006-11-01 |
| 1679718217 | Kaynaz Nasseri | Social Worker | 25 Arcade, Irvine, CA 92603-0119 | 2008-12-11 |
| Find all providers in zip 92603 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396752432 | Floyd Gilbert Shon | Orthopaedic Surgery | 33 Creek Road, Ste 130, Irvine, CA 92604 | 2006-08-02 |
| 1194787275 | Nimish Raj Kadakia | Orthopaedic Surgery | 22 Odyssey Ste 205, Irvine, CA 92618-3197 | 2006-04-04 |
| 1649782715 | Floyd G Shon Md Inc | Orthopaedic Surgery | 33 Creek Road, Ste 130, Irvine, CA 92604 | 2017-10-30 |
| 1437669470 | Waterworks Surgery Center, LLC | Orthopaedic Surgery | 113 Waterworks Way Ste 225, Irvine, CA 92618-3175 | 2017-10-04 |
| 1356748602 | Robert A Baird Md Incorporated | Orthopaedic Surgery | 16300 Sand Canyon Ave, Suite 511, Irvine, CA 92618-3711 | 2014-12-02 |
| 1487098984 | Matthew David Souster | Orthopaedic Surgery | 6670 Alton Parkway, Irvine, CA 92618 | 2013-04-26 |
| 1487944773 | Luke William Bulthuis | Orthopaedic Surgery | 6670 Alton Pkwy, Mob 1, Irvine, CA 92618-3734 | 2011-04-08 |
| 1609902386 | Megan Hanako Murai Kuba | Orthopaedic Surgery | 6640 Alton Pkwy, Irvine, CA 92618 | 2007-02-26 |
| 1831263508 | Thomas J Meyer | Orthopaedic Surgery | 2415 Campus Dr, Suite 110, Irvine, CA 92612-1527 | 2006-11-17 |
| 1669480984 | Robert Anthony Baird | Orthopaedic Surgery | 16300 Sand Canyon Ave, Suite 511, Irvine, CA 92618-3705 | 2006-08-03 |
| Find all providers in IRVINE | ||||
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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.