Individual provider Active NPI

Steve Paul Tristant, DPM

  • Podiatrist
  • Citrus Heights, CA
National Provider Identifier
1104900711
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3734 Issued in CA
Practice address
7620 Auburn Blvd
Citrus Heights, CA 95610-2215
Phone
(916) 722-6163
Fax
(916) 729-9306
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3734 CA Primary

Addresses

Primary practice location

7620 Auburn Blvd
Citrus Heights, CA 95610-2215

Mailing address

7620 Auburn Blvd
Citrus Heights, CA 95610-2215
Phone (916) 722-6163

Other identifiers 1

IdentifierTypeStateIssuer
000E37340MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040102000715 CA Practitioner - Podiatry 7810896453 Practice locations: Citrus Heights, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7620 Auburn Blvd
Citrus Heights, CA 95610-2215
Phone (916) 722-6163

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3734CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter North Medical Foundation Past Accepting new patients
Gibbons Chiropractic, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1104900711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7620 AUBURN BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102215",
            "telephone_number": "916-722-6163",
            "fax_number": "916-729-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7620 AUBURN BLVD",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102215",
            "telephone_number": "916-722-6163",
            "fax_number": "916-729-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRISTANT",
        "first_name": "STEVE",
        "middle_name": "PAUL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E37340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.