Look up the most recent NPI and PECOS records

Owen J Stormo

Emergency Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as OWEN STORMO.

Based on the most recent information from CMS, provider Owen J Stormo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 3:36 PM.

Profile Details

Provider ID
1386687341
Provider Type
Individual
Full Name
Stormo, Owen J
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/14/2006
Last Updated
4/1/2010

Contact Information

Practice Location

Pueblo At Bath, Santa Barbara, CA 93105

(805) 682-7111

Unlisted Fax

Mailing Location

PO Box 10040, Westminster, CA 92685-0040

(800) 358-8179

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License G50183 California

Provider Identifiers

ID	Description	Issuer
ID 00G501830	Description Medicaid	Issuer Unlisted California

Owen J Stormo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mills, Steven

Ruben, Jason B

Valentine, Carla C

Kroes, Jeremy Scott

Gerhardt, Nels James

Downing, Elizabeth A

Yao, Steven K

Salvucci, Angelo A

Catalano, Anthony

Moharir, Vikrant