Steven Thomas Huerta, PMHNP-BC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

95003401 Issued in CA

Practice address

3111 Camino del Rio N Ste 400
San Diego, CA 92108-5724

Phone

(619) 837-9776

NPI assigned

Dec 20, 2012

Last updated

Jan 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: steven.huertanp.p1@direct.vistacommunityclinic.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Huerta Four Square Clinicals Professional Corporation

  dba Four Square Clinicals

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
  • NPI 1508473034
  Medicare reassignment NPD Authorized official
• Four Square Clinicals of California a Professional Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Placentia, CA
  • NPI 1770224222
  NPD Authorized official
• St Huerta Four Square Clinicals Professional Corporation

  dba Four Square Clinicals

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Reno, NV
  • NPI 1154196632
  NPD Authorized official
• Dap Health, Inc.

  dba DAP Health-Borrego Springs Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Borrego Springs, CA
  • NPI 1134144165
  NPD

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1558607440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N ROSE DR",
            "address_2": "#472",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928707513",
            "telephone_number": "714-345-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 CAMINO DEL RIO N STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085724",
            "telephone_number": "619-837-9776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 N Sierra St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895011336",
            "country_code": "US",
            "telephone_number": "714-345-6944",
            "fax_number": "844-872-5607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Vale Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920845218",
            "country_code": "US",
            "telephone_number": "844-308-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "743486",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95003401",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CA",
            "license": "95003401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250011355",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Luisa Huerta, LCSW
• Marlyn Huerta
• Melanie Huerta
• Sandra Guadalupe Huerta, IMF
• Silvia Luz Huerta
• Thalia Huerta
• Verenna Huerta
• Felipe Andres Hueso, MA
• Nicholas Huetteman
• Valerie Huey

• Addiction Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Addiction Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.