Stephen Joseph Pittelli, M.D.

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

A054752 Issued in CA

Practice address

California Mens Colony Mental Health Dept
Highway 1
San Luis Obispo, CA 93409-0001

Phone

(805) 789-7048

NPI assigned

Dec 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1205071933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALIFORNIA MENS COLONY MENTAL HEALTH DEPT",
            "address_2": "HIGHWAY 1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934090001",
            "telephone_number": "805-789-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALIFORNIA MENS COLONY MENTAL HEALTH DEPT",
            "address_2": "HIGHWAY 1",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934090001",
            "telephone_number": "805-789-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTELLI",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "A054752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayne Anne Pinto, LMFT
• Gina M Pinto, LMFT
• Farnaz Pirayesh, D.O
• Emily Pirmann
• Christine Nicole Pirruccello, M.S.
• Nicholas Placone
• Planned Parenthood California Central Coast
• Jenna Plasschaert
• David Gail Platt, LMFT
• Janice Platt

• Community Health Worker in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.