Organization Active NPI

Steven L Nelson, M.D.Inc

  • Surgery Physician
  • Yreka, CA
National Provider Identifier
1427121904
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STEVEN L NELSON, M.D.INC
Practice address
814 N Main St
Yreka, CA 96097-2538
Phone
(530) 842-1293
Fax
(530) 842-4822
NPI assigned
Nov 15, 2006
Last updated
Jul 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Authorized official

Name
Steven L Nelson, MDNPI 1861497125
Title
President
Phone
(530) 842-1293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X CA Primary

Addresses

Primary practice location

814 N Main St
Yreka, CA 96097-2538

Mailing address

PO Box 1066
Yreka, CA 96097-1066
Phone (530) 842-1293

Other identifiers 2

IdentifierTypeStateIssuer
756021983OtherCARAILROAD MEDICARE NUMBER
GR0015870MedicaidCA

National Provider Directory

National Provider Directory

Locations

814 N Main St
Yreka, CA 96097
Phone (530) 842-1293

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1427121904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960971066",
            "telephone_number": "530-842-1293",
            "fax_number": "530-842-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N MAIN ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972538",
            "telephone_number": "530-842-1293",
            "fax_number": "530-842-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L NELSON, M.D.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-842-1293",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "756021983",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0015870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.