Individual provider Active NPI

Steven Nagelberg, M.D.

  • Specialist
  • Downey, CA
National Provider Identifier
1114060720
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G51854 Issued in CA
Practice address
10800 Paramount Blvd
#204A
Downey, CA 90241-5003
Phone
(562) 803-6116
Fax
(562) 803-6308
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X G51854 CA
Specialist 174400000X G51854 CA Primary

Addresses

Primary practice location

10800 Paramount Blvd
#204A
Downey, CA 90241-5003

Mailing address

8504 Firestone Blvd.
#399
Downey, CA 90241-5003
Phone (562) 803-6116

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
I20050815000378 CA Practitioner - Orthopedic Surgery 0749261709

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G51854CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
NSR Medical Specialist PastSince Oct 1, 2007 Accepting new patients

Organizations & group practices 1

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1114060720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 FIRESTONE BLVD.",
            "address_2": "#399",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415003",
            "telephone_number": "562-803-6116",
            "fax_number": "562-803-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PARAMOUNT BLVD",
            "address_2": "#204A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415003",
            "telephone_number": "562-803-6116",
            "fax_number": "562-803-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGELBERG",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G51854",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G51854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.