Individual provider Active NPI

Steven St Ma, MD

  • Specialist
  • Rosemead, CA
National Provider Identifier
1104964303
Registry record updated Dec 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A62421 Issued in CA
Practice address
9428 Valley Blvd Ste 201
Rosemead, CA 91770-1570
Phone
(626) 350-6776
Fax
(626) 350-3353
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A62421 CA Primary

Addresses

Primary practice location

9428 Valley Blvd Ste 201
Rosemead, CA 91770-1570

Mailing address

PO Box 2110
Palm Springs, CA 92263-2110
Phone (626) 350-6776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180104001388 WA Practitioner - Ophthalmology 3779472964 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62421CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Bay Ophthalmology PLLC CurrentSince Jan 1, 2018 Accepting new patients
Steven H Swedberg MD PS Past Accepting new patients

Locations

1130 N Forest St
Bellingham, WA 98225
Phone (360) 647-7750

3125 Howe Pl
Ste 101
Bellingham, WA 98226
Phone (360) 647-7750

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230681600000",
    "number": "1104964303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2110",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922632110",
            "telephone_number": "626-350-6776",
            "fax_number": "626-350-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 VALLEY BLVD STE 201",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701570",
            "telephone_number": "626-350-6776",
            "fax_number": "626-350-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "STEVEN",
        "middle_name": "ST",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A62421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.