Individual provider Active NPI

Steve S. Im, MD

  • Anesthesiology Physician
  • Cerritos, CA
National Provider Identifier
1114019544
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A75924 Issued in CA
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

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081013000606 CA Practitioner - Anesthesiology 4082782396 Reassigns benefits to 4 organizations

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
Orange Coast Anesthesia IncGroup PAC ID 2466613591, 85 clinicians
Spectrum Medical Group, Inc.Group PAC ID 5395876189, 2 clinicians

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 Hospital, Orange, CA, CCN 050348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A75924CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Oct 24, 2024 Accepting new patients
Revivex Healthcare Inc CurrentSince Dec 1, 2025 Accepting new patients
Revivex Healthcare Inc PastSince Mar 24, 2024 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.