Active NPI
Steven E. Gammer, M.D.
- Dermatology Physician
- Seal Beach, CA
National Provider Identifier
1407949233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G26248
- Practice address
- 500 Pacific Coast Hwy Ste 212
Seal Beach, CA 90740-6643 - Phone
- (562) 431-8554
- Fax
- (562) 596-7764
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G26248 | CA | Primary |
Addresses
Primary practice location
500 Pacific Coast Hwy Ste 212
Seal Beach, CA 90740-6643
Mailing address
500 Pacific Coast Hwy Ste 212
Seal Beach, CA 90740-6643
Phone (562) 431-8554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G262480 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26248 | CA | MD | Clinical Social Worker |
| G26248 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles ENT Facial Plastics Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Redondo Beach, CA
- NPI 1225463797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1407949233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PACIFIC COAST HWY STE 212",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406643",
"telephone_number": "562-431-8554",
"fax_number": "562-596-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PACIFIC COAST HWY STE 212",
"city": "SEAL BEACH",
"state": "CA",
"postal_code": "907406643",
"telephone_number": "562-431-8554",
"fax_number": "562-596-7764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMMER",
"first_name": "STEVEN",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G26248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G262480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seal Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.