Organization Active NPI

Steve S. Oberemok, M.D., Inc

  • Specialist
  • Hemet, CA
National Provider Identifier
1184632226
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G23306 Issued in CA
Legal business name
STEVE S. OBEREMOK, M.D., INC
Practice address
720 E Latham Ave Ste 1
Hemet, CA 92543-4371
Phone
(951) 658-9461
Fax
(951) 652-7103
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Steve S. Oberemok, M.D..NPI 1598709867
Title
Physician/Owner
Phone
(951) 658-9461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X G23306 CA Primary

Addresses

Primary practice location

720 E Latham Ave Ste 1
Hemet, CA 92543-4371

Mailing address

720 E Latham Ave Ste 1
Hemet, CA 92543-4371
Phone (951) 658-9461

Other identifiers 2

IdentifierTypeStateIssuer
00G233060MedicaidCA
1942245873OtherCAINDIVIDUAL NPI #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061005000521 CA Part B Supplier - Clinic/Group Practice 3072519586 Receives reassigned benefits from 5 practitioners
Practice locations: Hemet, CA; Murrieta, CA

National Provider Directory

National Provider Directory

Locations

720 E Latham Ave
Ste 1
Hemet, CA 92543
Phone (951) 658-9461

901 S State St
Ste 100
Hemet, CA 92543
Phone (951) 925-8082

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1184632226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E LATHAM AVE STE 1",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434371",
            "telephone_number": "951-658-9461",
            "fax_number": "951-652-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E LATHAM AVE STE 1",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434371",
            "telephone_number": "951-658-9461",
            "fax_number": "951-652-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE S. OBEREMOK, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "OBEREMOK",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "951-658-9461",
        "authorized_official_credential": "M.D.."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G23306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G233060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1942245873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.