MEDICARE: STEPHEN HAMILTON MOTT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	18892	DC
2	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	14663	NH
3	2084P0005X	Neurodevelopmental Disabilities Physician	14663	NH
4	2084P0005X	Neurodevelopmental Disabilities Physician	18892	DC
5	2084P0005X	Neurodevelopmental Disabilities Physician	C150674	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295723450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN HAMILTON MOTT M.D.

Provider Business Mailing Address
First Line	:	2500 REDHILL AVE STE 100
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5518
Country	:	US
Telephone Number	:	949-267-0400
Fax Number	:	949-221-0004

Provider Business Practice Location Address
First Line	:	2500 REDHILL AVE STE 100
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5518
Country	:	US
Telephone Number	:	949-267-0400
Fax Number	:	949-221-0004

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	05/06/2020

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