Organization Active NPI

Steven R. Calleros, M.D., Inc.

  • Psychiatry Physician
  • Anaheim, CA
National Provider Identifier
1326345398
Registry record updated Feb 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A73924 Issued in CA
Legal business name
STEVEN R. CALLEROS, M.D., INC.
Practice address
130 S Imperial Hwy
Anaheim, CA 92807-3943
Phone
(949) 838-4465
NPI assigned
Feb 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2011

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

Authorized official

Name
Steven R Calleros, MD
Title
Owner
Phone
(714) 838-5564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A73924 CA Primary

Addresses

Primary practice location

130 S Imperial Hwy
Anaheim, CA 92807-3943

Mailing address

130 S Imperial Hwy
Anaheim, CA 92807-3943
Phone (949) 838-4465

National Provider Directory

National Provider Directory
Tax ID family
Steven Calleros MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 S Imperial Hwy
Anaheim, CA 92807
Phone (714) 637-4840

NPI Registry JSON

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

{
    "created_epoch": "1298764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298764800000",
    "number": "1326345398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S IMPERIAL HWY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073943",
            "telephone_number": "949-838-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S IMPERIAL HWY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073943",
            "telephone_number": "949-838-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R. CALLEROS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-27",
        "last_updated": "2011-02-27",
        "status": "A",
        "authorized_official_last_name": "CALLEROS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-838-5564",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A73924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2011; 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.