Steven Fish MD Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

STEVEN FISH MD INC

Practice address

161 Thunder Dr Ste 208
Vista, CA 92083-6052

Phone

(804) 402-0540

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Steven Michael Fish, MDNPI 1760877120

Title

Chief Executive Officer

Phone

(804) 402-0540

Specialties & licenses 2

Addresses

Other names 1

• Coastal Cataract and Glaucoma Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Fish, MD

  • Ophthalmology Physician
  • Vista, CA
  • NPI 1760877120
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1346085602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 RODNEY AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242901",
            "telephone_number": "804-402-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 THUNDER DR STE 208",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836052",
            "telephone_number": "804-402-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN FISH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "804-402-0540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Cataract and Glaucoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makena Reed Starner
• Victoria Steese, MA -MFT
• Joel Stuart Steinberg, M.D.
• Benjamin Hutton Stephens, M.D.
• Steve M Kuriyama MD a Professional Corporation
• Steven P. Theodosis Dental Corporation
• Lasonia Recheal Stewart-Brown, L.C.S.W.
• Susan Lee Stewart, LCSW
• Jovana Stojanovska
• Randy Lee Stone, OD

• Ophthalmology Physician in Vista, CA
• Providers in Vista, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.