Active NPI
Bernhard Karl Stepke, MD
- Family Medicine Physician
- Calipatria, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A96562
- Practice address
- 7018 Blair Rd
Medical Department, Calipatria State Prison
Calipatria, CA 92233 - Phone
- (760) 348-7000
- NPI assigned
- Feb 28, 2006
- Last updated
- Jul 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200301180 | NC | |
| Family Medicine Physician | 207Q00000X | 04-33799 | KS | |
| Family Medicine Physician | 207Q00000X | A96562 | CA | Primary |
Addresses
Primary practice location
7018 Blair Rd
Medical Department, Calipatria State Prison
Calipatria, CA 92233
Mailing address
7018 Blair Rd
Medical Department, Calipatria State Prison
Calipatria, CA 92233
Phone (760) 348-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-33799 | KS | MD | Family Medicine Physician |
| 200301180 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Corrections and Rehabilitation-Headquarters | Past | Accepting new patients |
Locations
47923 Oasis St
Ste 1
Indio, CA 92201
Phone (760) 863-8283
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
Interoperability endpoints
- bstepke144496@direct.llu.edu
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
-
dba Calipatria State Prison
- Pharmacy
- Calipartia, CA
- NPI 1265067086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309824000000",
"number": "1093781072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7018 BLAIR RD",
"address_2": "MEDICAL DEPARTMENT, CALIPATRIA STATE PRISON",
"city": "CALIPATRIA",
"state": "CA",
"postal_code": "92233",
"telephone_number": "760-348-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7018 BLAIR RD",
"address_2": "MEDICAL DEPARTMENT, CALIPATRIA STATE PRISON",
"city": "CALIPATRIA",
"state": "CA",
"postal_code": "92233",
"telephone_number": "760-348-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPKE",
"first_name": "BERNHARD",
"middle_name": "KARL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2011-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200301180",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-33799",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A96562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calipatria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.