Steven Peretiatko MD a Medical Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

STEVEN PERETIATKO MD A MEDICAL CORPORATION

Practice address

1303 Mable Ave
Modesto, CA 95355-1119

Phone

(209) 857-3400

Fax

(812) 479-7865

NPI assigned

Mar 20, 2024

Last updated

May 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Peretiatko, MDNPI 1053871491

Title

Owner

Phone

(941) 236-0461

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Steven Peretiatko, MD

  • Physical Medicine & Rehabilitation Physician
  • Modesto, CA
  • NPI 1053871491
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1518727387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5705",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477165705",
            "telephone_number": "812-492-1960",
            "fax_number": "812-479-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MABLE AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551119",
            "telephone_number": "209-857-3400",
            "fax_number": "812-479-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN PERETIATKO MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "PERETIATKO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-236-0461",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A190660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Stephens, P.T.
• Tammy Leigh Ann Stephenson
• Arionna Dionna Stepney
• Brittany Sterba
• Kevin Adrian Sterling, MD
• Steven R Wunschel MD
• Steven R Wunschel MD Inc
• Ayriyana Jazlynn Denise Stevenson
• Teresa Stevenson
• Stewart W Quisling, MD Inc

• Physical Medicine & Rehabilitation Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.