GLORIA J. STEVENS M.D. – NPI #1699836288
Dermatology

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Health Care Provider Taxonomy Code for Dermatology

GLORIA STEVENS is a dermatologist located in UPLAND, CA. NPPES has assigned the NPI number 1699836288 to GLORIA STEVENS on December 13, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name GLORIA JANE LISKANICH. The primary taxonomy selected by this provider is 207NS0135X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Procedural Dermatology

The NPI profile was previously updated about 8 years ago on Oct 18, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLORIA STEVENS below.

NPI Profile for
GLORIA J. STEVENS

NPI Number
1699836288
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
GLORIA J. STEVENS
Other Name: GLORIA JANE LISKANICH
Credentials
M.D.
Primary location
954 W FOOTHILL BLVD STE B
UPLAND, CA 91786
Phone: (909) 949-7500 Fax: (909) 946-1133
1 Other location(s):
954 W Foothill Blvd Ste B
Upland, CA 91786
Phone: (909) 949-7500
Fax: (909) 946-1133
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for GLORIA STEVENS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNACA330357267
OTHERBLUE CROSSCA330357267
OTHERBLUE SHEILDCA330357267
OTHERCCNCA330357267
OTHERHEALTH NETCA330357267
OTHERPACIFICARECA330357267
OTHERTRI CARECA330357267
OTHERUNITED HEALTH CARECA330357267
MEDICAIDCA8357422
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NS0135X
- Dermatology / Procedural Dermatology (Primary)		 CA G058338

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE - Graduated 1985
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
GLORIA STEVENS is affiliated with the following medical group(s):
  • HOSPITAL
    • SAN ANTONIO REGIONAL HOSPITAL
      999 SAN BERNARDINO ROAD
      UPLAND, CA 91786

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