Individual provider Active NPI

Steven Mark Ross, RN

  • Registered Nurse
  • Eureka, CA
National Provider Identifier
1104733245
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
711308 Issued in CA
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

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.