Active NPI
Steven Mark Ross, RN
- Registered Nurse
- Eureka, CA
National Provider Identifier
1104733245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 711308
- Practice address
- 930 W Harris St
Eureka, CA 95503-3927 - Phone
- (707) 269-7511
- Fax
- (707) 269-7556
- NPI assigned
- Aug 25, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 711308 | CA | Primary |
Addresses
Primary practice location
930 W Harris St
Eureka, CA 95503-3927
Mailing address
1330 Tompkins Hill Rd
Fortuna, CA 95540-9769
Phone (707) 269-7511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1104733245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 TOMPKINS HILL RD",
"city": "FORTUNA",
"state": "CA",
"postal_code": "955409769",
"telephone_number": "707-269-7511",
"fax_number": "707-269-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 W HARRIS ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955033927",
"telephone_number": "707-269-7511",
"fax_number": "707-269-7556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "STEVEN",
"middle_name": "MARK",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "711308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.