Active NPI
Stellar Family and Occupational Medical Group
- Occupational Medicine Clinic/Center
- Apple Valley, CA
National Provider Identifier
1427543248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- STELLAR FAMILY AND OCCUPATIONAL MEDICAL GROUP
- Practice address
- 18031 US Highway 18 Ste a
Apple Valley, CA 92307-2152 - Phone
- (760) 946-9990
- Fax
- (760) 946-9991
- NPI assigned
- Jun 25, 2018
- Last updated
- Jun 25, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Pautz DO, DO
- Title
- Owner
- Phone
- (760) 245-2663
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | Primary | ||
| Occupational Health Chiropractor | 111NX0100X | 21592 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | 20A7163 | CA |
Addresses
Primary practice location
18031 US Highway 18 Ste a
Apple Valley, CA 92307-2152
Mailing address
18031 US Highway 18 Ste a
Apple Valley, CA 92307-2152
Phone (609) 469-9907
Other practice location 1
18245 US Highway 18 Ste 6
Apple Valley, CA 92307-2217
Phone (760) 946-9990
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529884800000",
"number": "1427543248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18031 US HIGHWAY 18 STE A",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072152",
"telephone_number": "609-469-9907",
"fax_number": "760-946-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18031 US HIGHWAY 18 STE A",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072152",
"telephone_number": "760-946-9990",
"fax_number": "760-946-9991"
}
],
"practiceLocations": [
{
"address_1": "18245 US Highway 18 Ste 6",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "CA",
"postal_code": "923072217",
"country_code": "US",
"telephone_number": "760-946-9990",
"fax_number": "760-946-9991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "STELLAR FAMILY AND OCCUPATIONAL MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-25",
"last_updated": "2018-06-25",
"status": "A",
"authorized_official_last_name": "PAUTZ DO",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "760-245-2663",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "CA",
"license": "21592",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "20A7163",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.