Healthcare Provider Details

I. General information

NPI: 1427281666
Provider Name (Legal Business Name): STEPHEN WILLIAM DOGGETT, M.D. PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20341 SW BIRCH ST STE 330
NEWPORT BEACH CA
92660-1515
US

IV. Provider business mailing address

PO BOX 2901
NEWPORT BEACH CA
92659-0375
US

V. Phone/Fax

Practice location:
  • Phone: 949-490-4820
  • Fax: 949-490-4819
Mailing address:
  • Phone: 714-573-9500
  • Fax: 714-573-9505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberG49856
License Number StateCA

VIII. Authorized Official

Name: DR. STEPHEN WILLIAM DOGGETT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-573-9500