Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306207519 Individual Practitioner Female Practitioner

Dr. Stephanie Eonta , DO

General Practice • San Diego, CA

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Eonta, DO is a registered healthcare professional specializing in General Practice in San Diego, CA. Practice services are available at 34800 BOB WILSON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

34800 Bob Wilson Dr

San Diego, CA 921341098

Telephone 6195326400
Associated Practice Facility / Clinic
🏢 Nmc San Diego Facility NPI 1396732871

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in San Diego, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.8 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
270 Specialists

Practicing in San Diego, CA (2300 Statewide)

Telehealth Adoption Rate
2.2% 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: 2022-11-23
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0102205860

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

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

5501 Marvin Shields Blvd

Gulfport, MS 395019007

Phone: 2288225786

200 Mullins Dr

Lebanon, OR 973553983

Phone: 5412590200

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003249749

Doctor of Osteopathic Medicine (D.O.)

Dr. Phillip Fry , DO

Emergency Medicine

NPI 1003270331

Doctor of Osteopathic Medicine (D.O.)

Dr. Elizabeth Whipple , PhD

Military Health Care Provider

NPI 1003365297

Doctor of Philosophy (Ph.D.)

NPI 1003401662

Doctor of Osteopathic Medicine (D.O.)

NPI 1003569583

Doctor of Medicine (M.D.)

Dr. Kelly Peng , DO

Emergency Medicine

NPI 1013280718

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 23, 2022

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098 (Tel: 6195326400)

📍
Updated Business Mailing Address November 23, 2022

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098

📍
Updated Practice Location October 07, 2019

Registered at 5501 MARVIN SHIELDS BLVD, GULFPORT, MS 395019007 (Tel: 2288225786)

NPI Profile Active March 15, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2016

Registered at 200 MULLINS DR, LEBANON, OR 973553983 (Tel: 5412590200)

📍
Updated Business Mailing Address March 15, 2016

Registered at 200 MULLINS DR, LEBANON, OR 973553983

👤
Provider Name / Credentials Updated March 15, 2016

Recorded as STEPHANIE EONTA, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 15, 2016

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: 1306207519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2016
Last Update: November 23, 2022
Sole Proprietor: Yes

Mailing Address

34800 Bob Wilson Dr

San Diego, CA 921341098

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.