MEDICARE: DR. JOHN MICHAEL STEWART MD PHD

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	2084P0800X	Psychiatry Physician	A192470	CA

General Provider Information

NPI Number	:	1326691494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MICHAEL STEWART MD PHD

Provider Business Mailing Address
First Line	:	2730 WILSHIRE BLVD STE 325
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4747
Country	:	US
Telephone Number	:	323-872-5584
Fax Number	:

Provider Business Practice Location Address
First Line	:	2730 WILSHIRE BLVD STE 325
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4747
Country	:	US
Telephone Number	:	323-843-2609
Fax Number	:

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

Provider Enumeration Date	:	07/18/2019
Last Update Date	:	01/30/2026

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