Organization Active NPI

Stellar Family and Occupational Medical Group

  • Occupational Medicine Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1427543248
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.