Eugene Phillip Stecz, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G34790 Issued in CA

Practice address

399 E 21St St
San Bernadino, CA 92404

Phone

(909) 882-2266

Fax

(909) 881-7593

NPI assigned

Jul 27, 2005

Last updated

Dec 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memrad Medical Group Inc

  • Radiology Clinic/Center
  • Long Beach, CA
  • NPI 1831173905
  NPD (past)

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1346240819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 E 21ST ST",
            "city": "SAN BERNADINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-882-2266",
            "fax_number": "909-881-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 E 21ST ST",
            "city": "SAN BERNADINO",
            "state": "CA",
            "postal_code": "92404",
            "telephone_number": "909-882-2266",
            "fax_number": "909-881-7593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECZ",
        "first_name": "EUGENE",
        "middle_name": "PHILLIP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G34790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0063970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Lanegan
• Kaela McClary
• Deirdre Parkinson
• Dajuan Purcell
• Fnu Rashmi
• Paul Anthony Tenette, RPN
• Lesly G Thomas, DDS
• Richard Steven Tindall, MD
• Veterans Alcohol Rehabilitation Program, Inc.- Varp, Inc.
• Tracy Laveria Wilborn, CERTIFICATE

• Diagnostic Radiology Physician in San Bernadino, CA
• Providers in San Bernadino, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.