Organization Active NPI

David R. Sterling, DPM, PC

  • Podiatrist
  • Santa Maria, CA
National Provider Identifier
1053589408
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2745 Issued in CA
Legal business name
DAVID R. STERLING, DPM, PC
Practice address
2342 Professional Pkwy
Suite 100
Santa Maria, CA 93455-1630
Phone
(805) 928-5645
Fax
(805) 739-1186
NPI assigned
Feb 19, 2008
Last updated
May 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Jacque Sterling
Title
Executive Director Officer
Phone
(805) 928-5645

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X E2745 CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X CA

Addresses

Primary practice location

2342 Professional Pkwy
Suite 100
Santa Maria, CA 93455-1630

Mailing address

2342 Professional Pkwy
Suite 100
Santa Maria, CA 93455-1630
Phone (805) 928-5645

Other identifiers 1

IdentifierTypeStateIssuer
000E27450MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1053589408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "SUITE 100",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551630",
            "telephone_number": "805-928-5645",
            "fax_number": "805-738-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PROFESSIONAL PKWY",
            "address_2": "SUITE 100",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551630",
            "telephone_number": "805-928-5645",
            "fax_number": "805-739-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. STERLING, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OFFICER",
        "authorized_official_telephone_number": "805-928-5645"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2745",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E27450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.