Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295069318 Individual Practitioner Male Practitioner

Stephen Michael Nenninger , NMD

General Practice • Montecito, CA

Professional Overview & Biography Verified Profile Summary

Stephen Nenninger, NMD is a registered healthcare professional specializing in General Practice in Montecito, CA. Practice services are available at 1187 COAST VILLAGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1187 Coast Village Rd

Montecito, CA 931082737

Telephone 6312352111
Fax 6315402345

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Montecito, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Montecito, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-19
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA 369

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

General Practice

NUCC Taxonomy Code: 208D00000X

State License AZ 05-869

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Secondary Practice Locations

428 E Thunderbird Rd Ste 704, Npi Receiving Department And Management

Phoenix, AZ 850225229

Phone: 6312352111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Nicole Rea , MPT

Clinic/Center - Physical Therapy

NPI 1013941046

Master of Physical Therapy

NPI 1164825782
NPI 1225350184

Doctor of Philosophy (Ph.D.), Licensed Professional Counselor

Beverly Jacobson

Counselor - Addiction (Substance Use Disorder)

NPI 1417144056
Sonja Lindstrom , RN, MFT

Marriage & Family Therapist

NPI 1942567037

Registered Nurse, Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 19, 2023

Registered at 1187 COAST VILLAGE RD, MONTECITO, CA 931082737 (Tel: 6312352111)

📍
Updated Business Mailing Address December 19, 2023

Registered at 109 RANDALL AVE, NPI MGT, PORT JEFFERSON, NY 117771638 (Tel: 6312352111)

👤
Provider Name / Credentials Updated December 19, 2023

Recorded as STEPHEN NENNINGER, NMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2023

General Practice (License #05-869 in AZ)

NPI Profile Active January 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2013

Registered at 428 E THUNDERBIRD RD STE 704, NPI RECEIVING DEPARTMENT AND MANAGEMENT, PHOENIX, AZ 850225229 (Tel: 6312352111)

📍
Updated Business Mailing Address January 18, 2013

Registered at 109 RANDALL AVE, NPI RECEIVING DEPARTMENT AND MANAGEMENT, PORT JEFFERSON, NY 117771638 (Tel: 6312352111)

👤
Provider Name / Credentials Updated January 18, 2013

Recorded as STEVE NENNINGER, NMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2013

Naturopath (License #05-869 in AZ)

🟢
Initial NPI Registration & Enumeration September 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295069318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2009
Last Update: December 19, 2023
Sole Proprietor: Yes

Mailing Address

109 Randall Ave, Npi Mgt

Port Jefferson, NY 117771638

Phone: 6312352111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.