Individual provider Active NPI

Steven J Thorup, MD

  • Anesthesiology Physician
  • Monterey, CA
National Provider Identifier
1366459679
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G75791 Issued in CA
Practice address
23625 Holman Hwy
Monterey, CA 93940-5902
Phone
(831) 624-5311
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X G75791 CA
Anesthesiology Physician 207L00000X G75791 CA Primary

Addresses

Primary practice location

23625 Holman Hwy
Monterey, CA 93940-5902

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other practice location 1

1441 Florida Ave
Modesto, CA 95350
Phone (209) 578-2400

Other identifiers 1

IdentifierTypeStateIssuer
00G757910MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 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
I20060125000252 CA Practitioner - Anesthesiology 7416927231 Reassigns benefits to 2 organizations
I20231128000419 WA Practitioner - Anesthesiology 7416927231 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75791CAMDPharmacist
G75791CAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Nov 3, 2023 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Ventana Anesthesia Associates Inc Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Dameron Hospital Association CurrentSince Mar 3, 2024 Accepting new patients
Mercy Medical Center Current Accepting new patients
First Choice Physician Partners CurrentSince Jan 12, 2020 Accepting new patients
Franciscan Medical Group Current Accepting new patients
First Choice Physician Partners CurrentSince Jan 12, 2020 Accepting new patients
Central Maine Medical Center Past Accepting new patients
Central Maine Medical Center Past Accepting new patients

Locations

2265 41st Ave
Capitola, CA 95010
Phone (831) 262-2252

160 Green Valley Rd
Freedom, CA 95019
Phone (831) 763-9700

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

665 Munras Ave
Ste 100
Monterey, CA 93940
Phone (831) 375-2486

966 Cass St
Ste 150
Monterey, CA 93940
Phone (831) 649-1126

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1366459679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23625 HOLMAN HWY",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405902",
            "telephone_number": "831-624-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95350",
            "country_code": "US",
            "telephone_number": "209-578-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORUP",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "G75791",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G75791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G757910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.