Individual provider Active NPI

Steve Randal Ejercito Firme, M.D.

  • Pediatrics Physician
  • Upland, CA
National Provider Identifier
1184720112
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A056129 Issued in CA
Practice address
980 E Foothill Blvd Ste 102
Upland, CA 91786-4068
Phone
(909) 981-5738
Fax
(909) 981-4577
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-056921-L PA
Pediatrics Physician 208000000X ME83197 FL
Pediatrics Physician 208000000X A056129 CA Primary

Addresses

Primary practice location

980 E Foothill Blvd Ste 102
Upland, CA 91786-4068

Mailing address

1719 N Tulare Way
Upland, CA 91784-1961
Phone (909) 949-8960

Other names 1

  • Dr. Steve Ejercito Firme Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A056129CAMDPediatrics Physician
ME83197FLMDPediatrics Physician
MD-056921-LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chino Medical Group, Inc Pediatrics Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Rainbow Pediatrics Steve Randal E. Firme, M.D., Inc. Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1184720112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 N TULARE WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841961",
            "telephone_number": "909-949-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E FOOTHILL BLVD STE 102",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864068",
            "telephone_number": "909-981-5738",
            "fax_number": "909-981-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRME",
        "first_name": "STEVE RANDAL",
        "middle_name": "EJERCITO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD-056921-L",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME83197",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A056129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVE",
            "last_name": "FIRME",
            "middle_name": "EJERCITO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.