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STEFAN PENTSCHEV MD MEDICAL CORPORATION
NPI 1003639808
Family Medicine in Squaw Valley, CA

Active since November 01, 2024
30926 E KINGS CANYON RD, SQUAW VALLEY, CA 93675(559) 332-1112(559) 332-1112 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stefan Pentschev Md Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFAN PENTSCHEV MD MEDICAL CORPORATION (NPI 1003639808) is a healthcare organization registered as a family medicine in Squaw Valley, California and active in the NPI registry since November 2024. The organization maintains a secondary practice location in Reedley and lists Stefan I Pentschev,, Owner & Physician, as its authorized official.

NPPES Registry Identity

NPI1003639808
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTEFAN PENTSCHEV MD MEDICAL CORPORATION
Location Address30926 E KINGS CANYON RDSquaw Valley, CA 93675-9601
Mailing Address30926 E Kings Canyon RdSquaw Valley, CA 93675-9601 · (559) 332-1112
Phone(559) 332-1112
Fax(559) 332-1112
Organization SubpartNo
Authorized OfficialStefan I Pentschev,Owner & Physician · (559) 332-1112
Enumeration DateNovember 1, 2024
NPPES CertifiedOctober 28, 2024
✔ NPI 1003639808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
30926 E KINGS CANYON RD, Squaw Valley, CA 93675
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Secondary Practice Location 1

Location 1785 East Manning AveReedley, CA 93654 · Phone (559) 332-1112 · Fax (559) 332-1112

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefan Pentschev Md Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stefan Pentschev MD Medical Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stefan Pentschev, M.D.
General Practice
NPI 1154344927
330 E PINE ST
Exeter, CA 93221
(559) 592-2134
✔ PECOS✔ Accepts Medicare31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stefan Pentschev MD Medical Corporation's NPI number?

The NPI number for Stefan Pentschev MD Medical Corporation is 1003639808. It was assigned to this organization in the NPPES registry on November 1, 2024.

Where is Stefan Pentschev MD Medical Corporation located?

Stefan Pentschev MD Medical Corporation is located at 30926 E Kings Canyon Rd, Squaw Valley, CA 93675. The listed phone number is (559) 332-1112.

What is Stefan Pentschev MD Medical Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stefan Pentschev MD Medical Corporation enrolled in Medicare?

Yes. Stefan Pentschev MD Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stefan Pentschev MD Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Stefan Pentschev MD Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stefan Pentschev MD Medical Corporation was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.