Active NPI
Steven K. Shoemaker, DPM and Associates, Inc.
- Foot & Ankle Surgery Podiatrist
- Roseville, CA
National Provider Identifier
1194854737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E3540
- Legal business name
- STEVEN K. SHOEMAKER, DPM AND ASSOCIATES, INC.
- Practice address
- 1421 Secret Ravine Pkwy Ste 111
Roseville, CA 95661-6045 - Phone
- (916) 781-3223
- Fax
- (916) 781-8171
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Kay Shoemaker, DPM
- Title
- Doctor of Podiatry
- Phone
- (916) 781-3223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E3540 | CA | Primary |
Addresses
Primary practice location
1421 Secret Ravine Pkwy Ste 111
Roseville, CA 95661-6045
Mailing address
4120 Douglas Blvd # 306-165
Granite Bay, CA 95746-5936
Phone (916) 781-3223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHD137336 | Other | CA | RADIOLOGY |
| 10972127 | Other | CA | CAQH |
National Provider Directory
National Provider DirectoryLocations
4120 Douglas Blvd
#306165
Granite Bay, CA 95746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1194854737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 DOUGLAS BLVD # 306-165",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957465936",
"telephone_number": "916-781-3223",
"fax_number": "916-781-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 SECRET RAVINE PKWY STE 111",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956616045",
"telephone_number": "916-781-3223",
"fax_number": "916-781-8171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN K. SHOEMAKER, DPM AND ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-02",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SHOEMAKER",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "DOCTOR OF PODIATRY",
"authorized_official_telephone_number": "916-781-3223",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E3540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RADIOLOGY",
"identifier": "RHD137336",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10972127",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.