Individual provider Active NPI

Steven Allen Foppiano, SUDRC

  • Addiction (Substance Use Disorder) Counselor
  • Clayton, CA
National Provider Identifier
1497340376
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
070001AN Issued in CA
Practice address
11540 Marsh Creek Rd
Clayton, CA 94517-9759
Phone
(925) 672-5700
NPI assigned
Mar 3, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 070001AN CA Primary

Addresses

Primary practice location

11540 Marsh Creek Rd
Clayton, CA 94517-9759

Mailing address

11540 Marsh Creek Rd
Clayton, CA 94517-9759
Phone (925) 672-5700

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070001ANCAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1497340376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11540 MARSH CREEK RD",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945179759",
            "telephone_number": "925-672-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11540 MARSH CREEK RD",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945179759",
            "telephone_number": "925-672-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOPPIANO",
        "first_name": "STEVEN",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "SUDRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "070001AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.