DERRICK STEPHAN PA-C
NPI 1891932950
Physician Assistant - Surgical in San Juan Capistrano, CA

Active since January 12, 2009PECOS EnrolledAccepts Medicare Assignment
33445 PASEO EL LAZO, SAN JUAN CAPISTRANO, CA 92675(949) 338-3133(949) 338-3133 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Stephan Pa-c NPPES

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

DERRICK STEPHAN PA-C (NPI 1891932950) is an individual surgical provider in San Juan Capistrano, California and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1891932950
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDERRICK STEPHANCredential: PA-C
Location Address33445 PASEO EL LAZOSan Juan Capistrano, CA 92675-1003
Mailing Address33445 Paseo El LazoSan Juan Capistrano, CA 92675-1003 · (949) 338-3133 · Fax (949) 338-3133
Fax(949) 338-3133
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 12, 2009
Last NPPES UpdateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
NPI 1891932950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
33445 PASEO EL LAZO, San Juan Capistrano, CA 92675

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

Derrick Stephan Pa-c 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 ID8022204023
PECOS Enrollment IDI20101201001105
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
82 services79 patients
Incision or removal of spinal nerve 64772
Incision or removal of a spinal nerve is a surgical procedure aimed to relieve pain or improve function. This involves making a cut to access the spine and carefully removing or adjusting the nerve that's causing issues. It's performed under anesthesia and recovery time varies.
64 services62 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
61 services59 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
37 services36 patients

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.

Surgery
33445 PASEO EL LAZO
SAN JUAN CAPISTRANO, CA 92675
Orthopaedic Surgery
33445 PASEO EL LAZO
SAN JUAN CAPISTRANO, CA 92675

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 Derrick Stephan's NPI number?

The NPI number for Derrick Stephan is 1891932950. It was assigned to this individual provider in the NPPES registry on January 12, 2009.

Where is Derrick Stephan located?

Derrick Stephan practices at 33445 Paseo El Lazo, San Juan Capistrano, CA 92675. The listed phone number is (949) 338-3133.

What is Derrick Stephan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Derrick Stephan enrolled in Medicare?

Yes. Derrick Stephan 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 Derrick Stephan was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.