STEPHANIE N MCCLELLAN M.D.
NPI 1679523914
Obstetrics & Gynecology - Gynecology in Los Angeles, CA

Q: What is Stephanie Mcclellan's NPI number?

The NPI number for Stephanie Mcclellan is 1679523914. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Q: What is Stephanie Mcclellan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: Is Stephanie Mcclellan enrolled in Medicare?

No. Stephanie Mcclellan has opted out of Medicare through April 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since May 10, 2006Opted out of Medicare · through Apr 10, 2027

11911 SAN VICENTE BLVD STE 265, LOS ANGELES, CA 90049(949) 463-1990 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2025, Oct 8, 2020, Aug 6, 2019 (3 updates tracked since 2019).

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About Stephanie N Mcclellan M.d. NPPES

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

STEPHANIE N MCCLELLAN M.D. (NPI 1679523914) is an individual gynecology provider in Los Angeles, California, licensed in California (G46111) and active in the NPI registry since May 2006. She has opted out of Medicare through April 10, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679523914

Entity TypeIndividualFemale

Primary Taxonomy207VG0400X

Provider Legal NameSTEPHANIE N MCCLELLANCredential: M.D.

Location Address11911 SAN VICENTE BLVD STE 265Los Angeles, CA 90049-6634

Mailing Address520 Marguerite AveCorona Del Mar, CA 92625-2335 · (949) 463-1990

Phone(949) 463-1990

Sole ProprietorNo

Enumeration DateMay 10, 2006

Last NPPES UpdateFebruary 27, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2025

✔ NPI 1679523914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in CA · G46111

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

11911 SAN VICENTE BLVD STE 265, Los Angeles, CA 90049

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stephanie N Mcclellan M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 10, 2015 through April 10, 2027.

Opt-Out Effective DateApril 10, 2015

Opt-Out In Effect ThroughApril 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90049 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

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 2

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

ERA WOMEN'S HEALTH, P.C.

Clinic/Center

11911 SAN VICENTE BLVD STE 265
LOS ANGELES, CA 90049

Los Angeles County (206) 498-1074

KIMBERLEY HOANG CHAN MD

Internal Medicine

11911 SAN VICENTE BLVD STE 265
LOS ANGELES, CA 90049

Los Angeles County (424) 291-2984

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 Stephanie Mcclellan's NPI number?

The NPI number for Stephanie Mcclellan is 1679523914. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Stephanie Mcclellan located?

Stephanie Mcclellan practices at 11911 San Vicente Blvd Ste 265, Los Angeles, CA 90049. The listed phone number is (949) 463-1990.

What is Stephanie Mcclellan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Stephanie Mcclellan enrolled in Medicare?

No. Stephanie Mcclellan has opted out of Medicare through April 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephanie Mcclellan was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.