NPIMap

Organization Active NPI

Stallant Medical Group Inc

Doing business as Stallant Health & Wellness

  • Rural Health Clinic/Center
  • Highland, CA
National Provider Identifier
1508683111
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STALLANT MEDICAL GROUP INC
Doing business as
Stallant Health & Wellness
Practice address
27811 Greenspot Rd
Highland, CA 92346-4361
Phone
(912) 347-3974
NPI assigned
Sep 24, 2024
Last updated
Nov 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
STALLANT MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Authorized official

Name
Robert Forrest Steffens
Title
Coo
Phone
(909) 443-2584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

27811 Greenspot Rd
Highland, CA 92346-4361

Mailing address

27811 Greenspot Rd Ste a
Highland, CA 92346-4361
Phone (909) 443-2584

Other names 1

  • Stallant Health & Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250212000720 CA Part A Provider - Rural Health Clinic 6406283845 Practice locations: Highland, CA
O20251229000818 CA Part B Supplier - Clinic/Group Practice 6406283845 Receives reassigned benefits from 22 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Highland, CA; Crescent City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508683111. Details of each certification follow.

Rural health clinic certification: CCN 558920

Legal name
STALLANT MEDICAL GROUP INC
Doing business as
STALLANT HEALTH & WELLNESS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 24, 2025
Last certification
Jun 24, 2025
Ownership / control type
1B
Organization structure
CorporationProprietary
Enrollment address
27811 Greenspot Rd
Ste a
Highland, CA 92346-4361

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2319383Stallant Health & Wellness27811 Greenspot Road, Highland, CA 92346Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Stallant Health Wellness2 organizations share this tax ID, including this one
Part of
Stallant Health Wellness

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

27811 Greenspot Rd
Highland, CA 92346
Phone (909) 443-2584

27811 Greenspot Rd
Ste A
Highland, CA 92346
Phone (909) 443-2584

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Randall Steffens II Individual Corporate OfficerChief Information Officer Nov 7, 2019
Robert Steffens Individual Corporate OfficerChief Operating Officer Nov 7, 2019
Joshua Nebblett Individual Corporate OfficerCfo Nov 7, 2019
Linda Steffens Individual Corporate OfficerChief Nursing Officer Nov 7, 2019
Richard Steffens Individual Corporate OfficerChief Marketing Officer Nov 7, 2019
Randall L Steffens Individual 5% Or Greater Direct Ownership Interest Nov 7, 2019 100%
Corporate OfficerCeo Nov 7, 2019
Corporate Director Nov 7, 2019 100%
W-2 Managing EmployeeAd;MD; Nov 7, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Randall L Steffens Sr., DO
    • Emergency Medicine Physician
    • Crescent City, CA
    • NPI 1992745079

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1508683111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27811 GREENSPOT RD STE A",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464361",
            "telephone_number": "909-443-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27811 GREENSPOT RD",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464361",
            "telephone_number": "912-347-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STALLANT MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STALLANT MEDICAL GROUP INC",
        "enumeration_date": "2024-09-24",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "STEFFENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "909-443-2584"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stallant Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, CA

Sources for this page

Verify at the official NPI Registry.