Individual provider Active NPI

Bernhard Karl Stepke, MD

  • Family Medicine Physician
  • Calipatria, CA
National Provider Identifier
1093781072
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A96562 Issued in CA
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080219000618 CA Practitioner - Family Practice 1153405857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-33799KSMDFamily Medicine Physician
200301180NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside CurrentSince Jan 13, 2018 Accepting new patients
County of Riverside CurrentSince Jan 13, 2018 Accepting new patients
Corrections and Rehabilitation-Headquarters PastSince Mar 22, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.