GORDANA STEVANOVIC MD
NPI 1083611602
Specialist in San Diego, CA

Active since June 29, 2005
13112 EVENING CREEK DR S, SAN DIEGO, CA 92128(818) 858-4390(310) 698-7054 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gordana Stevanovic Md NPPES

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

GORDANA STEVANOVIC MD (NPI 1083611602) is an individual specialist in San Diego, California, licensed in California (A48595) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1083611602
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameGORDANA STEVANOVICCredential: MD
Location Address13112 EVENING CREEK DR SSan Diego, CA 92128-4108
Mailing Address2374 E Pacifica PlRancho Dominguez, CA 90220-6214 · (310) 225-3244 · Fax (310) 698-7054
Fax(310) 698-7054
Sole ProprietorYes
Enumeration DateJune 29, 2005
Last NPPES UpdateJanuary 29, 2016
NPI 1083611602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · A48595
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

13112 EVENING CREEK DR S, San Diego, CA 92128

Other Identifiers 1

Medicare UPINF66455

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Anatomic Pathology & Clinical Pathology)
13112 EVENING CREEK DR S
SAN DIEGO, CA 92128
Clinical Medical Laboratory
13112 EVENING CREEK DR S, SUITE 300
SAN DIEGO, CA 92128
Clinical Medical Laboratory
13112 EVENING CREEK DR S, SUITE 100
SAN DIEGO, CA 92128
Clinical Medical Laboratory
13112 EVENING CREEK DR S, SUITE 200
SAN DIEGO, CA 92128
Pathology (Anatomic Pathology & Clinical Pathology)
13112 EVENING CREEK DR S
SAN DIEGO, CA 92128
Pathology (Anatomic Pathology & Clinical Pathology)
13112 EVENING CREEK DR S
SAN DIEGO, CA 92128

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 Gordana Stevanovic's NPI number?

The NPI number for Gordana Stevanovic is 1083611602. It was assigned to this individual provider in the NPPES registry on June 29, 2005.

Where is Gordana Stevanovic located?

Gordana Stevanovic practices at 13112 Evening Creek Dr S, San Diego, CA 92128. The listed phone number is (818) 858-4390.

What is Gordana Stevanovic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gordana Stevanovic was last updated on January 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.