MR. STEPHEN ALEXANDER BACCARI NP
NPI 1427892884
Dermatology in Los Angeles, CA

Active since June 20, 2024PECOS EnrolledAccepts Medicare Assignment
11645 WILSHIRE BLVD STE 900, LOS ANGELES, CA 90025(310) 274-4401(213) 408-4414 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2026, Apr 3, 2025, Jun 20, 2024 (3 updates tracked since 2024).

About Mr. Stephen Alexander Baccari Np NPPES

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

MR. STEPHEN ALEXANDER BACCARI NP (NPI 1427892884) is an individual dermatology provider in Los Angeles, California, licensed in California (A77432) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2024).

NPPES Registry Identity

NPI1427892884
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMR. STEPHEN ALEXANDER BACCARICredential: NP
Location Address11645 WILSHIRE BLVD STE 900Los Angeles, CA 90025-6811
Mailing Address11645 Wilshire Blvd Ste 900Los Angeles, CA 90025-6811 · (424) 243-7668 · Fax (213) 408-4414
Fax(213) 408-4414
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2024
Enumeration DateJune 20, 2024
Last NPPES UpdateJanuary 29, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1427892884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A77432
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
11645 WILSHIRE BLVD STE 900, Los Angeles, CA 90025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Stephen Alexander Baccari Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688197635
PECOS Enrollment IDI20250331001825
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Dermatology
11645 WILSHIRE BLVD STE 900
LOS ANGELES, CA 90025
Dermatology
11645 WILSHIRE BLVD STE 900
LOS ANGELES, CA 90025
Physician Assistant (Medical)
11645 WILSHIRE BLVD STE 900
LOS ANGELES, CA 90025

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 Stephen Baccari's NPI number?

The NPI number for Stephen Baccari is 1427892884. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Stephen Baccari located?

Stephen Baccari practices at 11645 Wilshire Blvd Ste 900, Los Angeles, CA 90025. The listed phone number is (310) 274-4401.

What is Stephen Baccari's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Stephen Baccari enrolled in Medicare?

Yes. Stephen Baccari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephen Baccari was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.