Individual provider Active NPI

Steven Gottlieb

  • Pediatrics Physician
  • Yakima, WA
National Provider Identifier
1407940737
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00030027 Issued in WA
Practice address
2205 W Lincoln Ave
Yakima, WA 98902-2437
Phone
(509) 469-6305
Fax
(509) 575-3398
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00030027 WA Primary

Addresses

Primary practice location

2205 W Lincoln Ave
Yakima, WA 98902-2437

Mailing address

2205 W Lincoln Ave
Yakima, WA 98902-2437
Phone (509) 469-6305

Other practice location 1

325 W Channel Islands Blvd
Oxnard, CA 93033-4501
Phone (805) 204-9520

Other identifiers 5

IdentifierTypeStateIssuer
GO5843OtherWAREGENCE
8140923MedicaidWA
911019392OtherCOMMERCIAL
8140923OtherWACHPW
22553OtherGROUP HEALTH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sgottlieb4837@yvfwc.direct-ci.com Direct
Direct Messaging Address steven.gottlieb@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, 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
I20160215002767 WA Practitioner - Pediatric Medicine 1759685522 Reassigns benefits to 1 organization
I20251107003490 CA Practitioner - Pediatric Medicine 1759685522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Harvard Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1885 FM
2673 Unit 146
Canyon Lake, TX 78133

800 S Victoria Ave
L4640
Ventura, CA 93009-0002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00030027WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Oct 1, 2025 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jan 28, 2016 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jan 28, 2016 Accepting new patients
County of Ventura CurrentSince Oct 1, 2025 Accepting new patients

Locations

325 W Channel Islands Blvd
Oxnard, CA 93033
Phone (805) 204-9500

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

713 Memorial St
Prosser, WA 99350
Phone (509) 786-1931

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

602 E Nob Hill Blvd
Yakima, WA 98901
Phone (509) 248-3334

2205 W Lincoln Ave
Yakima, WA 98902
Phone (509) 469-6305

Interoperability endpoints

  • Direct secure messaging: sgottlieb4837@yvfwc.direct-ci.com

Organizations & group practices 5

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1407940737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W LINCOLN AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022437",
            "telephone_number": "509-469-6305",
            "fax_number": "509-575-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 W LINCOLN AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022437",
            "telephone_number": "509-469-6305",
            "fax_number": "509-575-3398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 W Channel Islands Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930334501",
            "country_code": "US",
            "telephone_number": "805-204-9520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00030027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "GO5843",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8140923",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "911019392",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHPW",
            "identifier": "8140923",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH",
            "identifier": "22553",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgottlieb4837@yvfwc.direct-ci.com",
            "affiliation": "N",
            "endpointDescription": "YVFWC Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2205 W Lincoln Ave",
            "city": "Yakima",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989022437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "steven.gottlieb@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "325 W Channel Islands Blvd",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930334501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.