Active NPI
Steve Paul Tristant, DPM
- Podiatrist
- Citrus Heights, CA
National Provider Identifier
1104900711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3734
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E37340 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3734 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Chiropractor
- Citrus Heights, CA
- NPI 1437473758
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
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
- Transformative Marriage Therapy Center, Inc.
- Transitional Care Solutions, Inc.
- Mackenzie Camryn Travis
- Samuel Travis
- Arthur Theodore Trefzger, CMP
- Jacquis Lamont Trodder
- Carl Trubschenck, D.D.S.
- True Care Behavioral Solutions of Northern California Inc.
- True Care Home Health of Northern California, Inc
- True Care Hospice of Northern California, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.