Individual provider Active NPI

Steven H Segerstrom, M.D

  • Family Medicine Physician
  • Marysville, CA
National Provider Identifier
1205876240
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G56784 Issued in CA
Practice address
726 4TH Street
Marysville, CA 94901
Phone
(530) 749-4300
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16310 NV
Family Medicine Physician 207Q00000X G56784 CA Primary

Addresses

Primary practice location

726 4TH Street
Marysville, CA 94901

Mailing address

631 Spring St
Nevada City, CA 95959-2113
Phone (530) 478-0673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050207000703 NV Practitioner - Emergency Medicine 7618928656 Reassigns benefits to 5 organizations
I20061030000275 CA Practitioner - Family PracticePractitioner - Emergency Medicine 7618928656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of California, San Francisco School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Grant General HospitalGroup PAC ID 1951290337, shared by 4 NPIs, 15 clinicians
Vituity-Nevada Medical Services Koury and Partners PCGroup PAC ID 2163968603, 64 clinicians

Practice addresses (Care Compare)

200 S a St
Hawthorne, NV 89415-1510
Phone (775) 945-2461

880 Alder Ave
Incline Village, NV 89451-8335
Phone (775) 833-4100

Hospital & facility affiliations

  • Incline Village Community Hospital Hospital, Incline Village, NV, CCN 291301
  • Mount Grant General Hospital Hospital, Hawthorne, NV, CCN 291300

Merit-based Incentive Payment System (MIPS)

Final score
75.06 of 100Reported as group
Quality
83.97
Promoting interoperability
88
Improvement activities
40
Cost
42.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56784CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Grant General Hospital CurrentSince Aug 1, 2025 Accepting new patients
Mt Grant General Hospital CurrentSince Aug 1, 2025 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
Cottage Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Vituity-Nevada Medical Services Koury & Partners PC Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Sierra Rural Physicians, Inc. Emergency Medicine Past Accepting new patients
Central California Radiology Associates Inc Past Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

2320 Bath St
Ste 315
Santa Barbara, CA 93105
Phone (805) 569-7236

2415 De la Vina St
Santa Barbara, CA 93105
Phone (805) 569-8922

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

880 Alder Ave
Incline Vlg, NV 89451
Phone (775) 831-6200

213 S Whitacre St
Yerington, NV 89447
Phone (775) 463-2301

Interoperability endpoints

  • Direct secure messaging: steven.segerstrom.1@11938.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1205876240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SPRING ST",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592113",
            "telephone_number": "530-478-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 4TH STREET",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "94901",
            "telephone_number": "530-749-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGERSTROM",
        "first_name": "STEVEN",
        "middle_name": "H",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "16310",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G56784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.