Organization Active NPI

Steven E. Black Dpmpc

  • Foot & Ankle Surgery Podiatrist
  • Lancaster, CA
National Provider Identifier
1043529522
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2158 Issued in CA
Legal business name
STEVEN E. BLACK DPMPC
Practice address
44444 16TH St W
103
Lancaster, CA 93534-2840
Phone
(661) 940-8888
Fax
(661) 940-8828
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven Earl Black, DPMNPI 1235228636
Title
President
Phone
(661) 940-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2158 CA Primary

Addresses

Primary practice location

44444 16TH St W
103
Lancaster, CA 93534-2840

Mailing address

44444 16TH St W
103
Lancaster, CA 93534-2840
Phone (661) 940-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005000431 CA Part B Supplier - Clinic/Group Practice 1557553823 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, CA

National Provider Directory

National Provider Directory

Locations

44404 16th St W
Ste 20
Lancaster, CA 93534

44444 16th St W
Ste 103
Lancaster, CA 93534
Phone (661) 940-8888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1043529522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44444 16TH ST W",
            "address_2": "103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342840",
            "telephone_number": "661-940-8888",
            "fax_number": "661-940-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44444 16TH ST W",
            "address_2": "103",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342840",
            "telephone_number": "661-940-8888",
            "fax_number": "661-940-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E. BLACK DPMPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-940-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.