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

Stefan R Jibodh, MD

Individual provider Adult Reconstructive Orthopaedic Surgery Physician · NPI 1508875642

Stefan R Jibodh, MD is an Orthopedic Surgery in Walnut Creek, California. Graduated from Johns Hopkins University School of Medicine in 2002, 24 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Trained at
Johns Hopkins University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1425 S Main St Dept OF Orthopedics Mob 1ST Fl
Walnut Creek, CA 94596-5318
Phone: (925) 295-4130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence A104528 (CA)

Record details

NPI number1508875642
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 7, 2006
Last updated in NPPESDecember 14, 2021

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesHAND SURGERY
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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