Active NPI
Steve S. Im, MD
- Anesthesiology Physician
- Cerritos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A75924
- Practice address
- 13310 Silver Berry Cir
Cerritos, CA 90703-1374 - Phone
- (562) 677-4739
- NPI assigned
- Sep 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A75924 | CA | Primary |
Addresses
Primary practice location
13310 Silver Berry Cir
Cerritos, CA 90703-1374
Mailing address
13310 Silver Berry Cir
Cerritos, CA 90703-1374
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22525 Maple Ave
Suite 101
Torrance, CA 90505-2700
Phone (562) 677-4739
3751 Katella Ave
Los Alamitos, CA 90720-3113
Phone (562) 598-1311
5211 E Washington Blvd
Suite 18
Commerce, CA 90040-3973
Phone (323) 606-7679
Hospital & facility affiliations
- Uci Health-Orange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A75924 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Coast Anesthesia Inc | Anesthesiology | Current | Accepting new patients |
| Revivex Healthcare Inc | Current | Accepting new patients | |
| Revivex Healthcare Inc | Past | Accepting new patients |
Locations
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011
23150 Crenshaw Blvd
Ste 100
Torrance, CA 90505
Phone (310) 381-0024
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Orange, CA
- NPI 1508138256
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Commerce, CA
- NPI 1225267388
-
- Anesthesiology Physician
- Cerritos, CA
- NPI 1922555861
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Torrance, CA
- NPI 1174800452
-
- Non-Pharmacy Dispensing Site
- Torrance, CA
- NPI 1083087613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1114019544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13310 SILVER BERRY CIR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907031374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13310 SILVER BERRY CIR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907031374",
"telephone_number": "562-677-4739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IM",
"first_name": "STEVE",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-30",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A75924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.