Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxwell Stephenson

Individual provider Emergency Medicine Physician · NPI 1417338401

Maxwell Stephenson is a Hospice/Palliative Care in Roseville, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2015
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Practice location Address checks out

1600 Eureka Road Medical Ofc Bldg C 4TH Fl
Roseville, CA 95661-2200
Phone: (916) 474-6590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A157080 (CA)

Record details

NPI number1417338401
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address1600 Eureka Road, Medical Office Building C, 4th Floor, Roseville, CA 95661-2200

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPICE/PALLIATIVE CARE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Roseville