STEPHANIE EONTA DO
NPI 1306207519
General Practice in San Diego, CA

Q: What is Stephanie Eonta's NPI number?

The NPI number for Stephanie Eonta is 1306207519. It was assigned to this individual provider in the NPPES registry on March 15, 2016.

Q: What is Stephanie Eonta's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Eonta was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 15, 2016

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6400 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2022, Oct 7, 2019, Mar 15, 2016 (3 updates tracked since 2016).

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About Stephanie Eonta Do NPPES

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

STEPHANIE EONTA DO (NPI 1306207519) is an individual general practice provider in San Diego, California, licensed in Virginia (0102205860) and active in the NPI registry since March 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306207519

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameSTEPHANIE EONTACredential: DO

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098

Phone(619) 532-6400

Sole ProprietorYes

Enumeration DateMarch 15, 2016

Last NPPES UpdateNovember 23, 20223 updates tracked since enumeration

NPPES CertifiedNovember 23, 2022

✔ NPI 1306207519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102205860

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

34800 BOB WILSON DR, San Diego, CA 92134

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Secondary Practice Locations 2

Location 15501 Marvin Shields BlvdGulfport, MS 39501-9007 · Phone (228) 822-5786

Location 2200 Mullins DrLebanon, OR 97355-3983 · Phone (541) 259-0200

Other Providers at the Same Location NPPES 20

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

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)