Individual provider Active NPI

Steven C Reiner

  • Family Medicine Physician
  • Victorville, CA
National Provider Identifier
1578547576
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G27015 Issued in CA
Practice address
15201 11TH St Ste 300
Victorville, CA 92395-3735
Phone
(818) 895-3100
Fax
(442) 229-6691
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G27015 NY
Family Medicine Physician 207Q00000X MD28462 OR
Family Medicine Physician 207Q00000X G27015 CA Primary

Addresses

Primary practice location

15201 11TH St Ste 300
Victorville, CA 92395-3735

Mailing address

15201 11TH St Ste 300
Victorville, CA 92395-3735
Phone (818) 895-3100

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ92058ZOtherGROUP SITE LOCATION
1730180415OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620001163 CA Practitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Emergency Medicine 9032154174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G27015CAMDFamily Medicine Physician
G27015NYMDFamily Medicine Physician
MD28462ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission City Community Network, Inc. Current Accepting new patients
Big Bear Urgent Care Inc Current Accepting new patients
Mission City Community Network, Inc. CurrentSince Dec 7, 2021 Accepting new patients
Mission City Community Network, Inc. CurrentSince Dec 7, 2021 Accepting new patients
Chase Dennis Emergency Medical Group Inc Family Medicine Past Accepting new patients
Mission City Community Network, Inc. Past Accepting new patients

Locations

405 E Buena Vista St
Barstow, CA 92311

15206 Parthenia St
Sepulveda, CA 91343

15201 Eleventh St
Ste 300
Victorville, CA 92395
Phone (760) 245-1640

Interoperability endpoints

  • Direct secure messaging: steven.reiner.p2@direct.hvvmg.nextgenshare.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1578547576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 11TH ST STE 300",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953735",
            "telephone_number": "818-895-3100",
            "fax_number": "442-229-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 11TH ST STE 300",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953735",
            "telephone_number": "818-895-3100",
            "fax_number": "442-229-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINER",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "G27015",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD28462",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G27015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP SITE LOCATION",
            "identifier": "ZZZ92058Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1730180415",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.