| Cary Stewart Md Inc | |
|
1001 Avenida Pico Suite C San Clemente CA 92673-6957 | |
| (949) 542-6154 | |
| (949) 542-7154 |
| Full Name | Cary Stewart Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 Avenida Pico, San Clemente, California |
| Authorized Official Name and Position | Cary C Stewart (PRESIDENT) |
| Authorized Official Contact | 9495426154 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cary Stewart Md Inc 1001 Avenida Pico Suite C San Clemente CA 92673-6957 Ph: (949) 542-6154 | Cary Stewart Md Inc 1001 Avenida Pico Suite C San Clemente CA 92673-6957 Ph: (949) 542-6154 |
| NPI Number | 1902998313 |
|---|---|
| Provider Enumeration Date | 09/30/2006 |
| Last Update Date | 05/09/2012 |
| Medicare PECOS PAC ID | 9032123286 |
|---|---|
| Medicare Enrollment ID | O20060126001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902998313 | NPI | - | NPPES |
| 00A695570 | Medicaid | CA | |
| WA69557B | Other | MEDICARE MEMBER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A69557 (California) | Primary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | A69557 (California) | Secondary |
| Provider Name | Cary C Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184690901 PECOS PAC ID: 0547221285 Enrollment ID: I20041025001221 |
| Provider Name | Jeffrey D Orr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336401702 PECOS PAC ID: 4284867573 Enrollment ID: I20200615003331 |
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