DR. DALE V DI STEFANO (M.D.) – Neurology Physician, NPI 1902822968

DR. DALE V DI STEFANO (M.D.) is a healthcare provider. based in Corona, California. specializing in NEUROLOGY. They hold the professional credentials M.D.. They hold a License No. G39611 (CA). The NPI Number for DR. DALE V DI STEFANO (M.D.) is 1902822968

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. DALE V DI STEFANO (M.D.)
NPI
1902822968
Phone
(951) 245-6137
Address
PO BOX 78148
Enumeration Date
14 July 2006
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7144567004
Graduation Year
1978 (48 years ago)
PAC ID
9436172970
Group Practice PAC ID
2769476357
Professional Enrollment ID
I20060113000956
Address ID
CA928683201OR101XXSXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,479 NEUROLOGY in CA

Provider Addresses for DR. DALE V DI STEFANO (M.D.)

  • PO BOX 78148

    CORONA, CA 928770138

    Phone: (951) 245-6137

    Fax: (951) 245-5317

    Type: Mailing

  • 401 OLD NEWPORT BOULEVARD

    SUITE 201

    NEWPORT BEACH, CA 926634289

    Phone: (949) 645-9996

    Fax: (949) 645-4013

    Type: Location

  • 1 Medical Plaza

    Irvine, CA 926973201

    Phone: (949) 824-8600

    Type: Location

  • 101 THE CITY DR S

    ORANGE, CA 928683201

    Phone: (714) 456-8888

    Fax: (951) 245-5317

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060113000956INeurologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or976199$0
99215Established patient office or other outpatient visit, 40-54 minutes428209$0
99205New patient office or other outpatient visit, 60-74 minutes4141$0
95816Measurement of brain wave activity (eeg), awake and drowsy2928$0
96372Injection of drug or substance under skin or into muscle2314$0
View full utilization report →

Insurance plans in this area (ZIP 92877)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769476357View full group profile
NameSpecialtyState
Clinical PsychologistCA
N E U R O L O G YCO
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YCA
Neurology, Critical Care (Intensivists)CA
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YIL

Reviews

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Frequently asked questions

What is the registry number for DR. DALE V DI STEFANO (M.D.)?
The registry entry for DR. DALE V DI STEFANO (M.D.) shows NPI 1902822968.
Is DR. DALE V DI STEFANO (M.D.)'s NPI status active today?
Active status means DR. DALE V DI STEFANO (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. DALE V DI STEFANO (M.D.) does?
Insurance directories may phrase it differently, but here DR. DALE V DI STEFANO (M.D.) maps to Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. DALE V DI STEFANO (M.D.)?
DR. DALE V DI STEFANO (M.D.) shows a connection to Corona, California in registry-derived data.
Who maintains DR. DALE V DI STEFANO (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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