Active NPI
Steve Slava Oberemok, MD
- Dermatology Physician
- Hemet, CA
National Provider Identifier
1598709867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A86584
- Practice address
- 720 E Latham Ave
Suite 1
Hemet, CA 92543-4371 - Phone
- (951) 658-9461
- Fax
- (951) 652-7103
- NPI assigned
- Jun 16, 2006
- Last updated
- Aug 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A86584 | CA | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | A86584 | CA |
Addresses
Primary practice location
720 E Latham Ave
Suite 1
Hemet, CA 92543-4371
Mailing address
720 E Latham Ave
Suite 1
Hemet, CA 92543-4371
Phone (951) 658-9461
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95 3620366 | Other | TAX ID | |
| OOA865840 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- State University of New York Downstate Medical Center, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28078 Baxter Rd
Suite 312
Murrieta, CA 92563-1404
Phone (951) 658-9461
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 211 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1761 |
| Removal of skin cancer | 478 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 767 |
| Skin biopsy | 191 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86584 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hemet Valley Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Specialist
- Hemet, CA
- NPI 1184632226
-
- Dermatology Physician
- Temecula, CA
- NPI 1538456215
-
- General Acute Care Hospital
- Hemet, CA
- NPI 1508939349
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Diego, CA
- NPI 1063726628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1598709867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E LATHAM AVE",
"address_2": "SUITE 1",
"city": "HEMET",
"state": "CA",
"postal_code": "925434371",
"telephone_number": "951-658-9461",
"fax_number": "951-652-7103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E LATHAM AVE",
"address_2": "SUITE 1",
"city": "HEMET",
"state": "CA",
"postal_code": "925434371",
"telephone_number": "951-658-9461",
"fax_number": "951-652-7103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBEREMOK",
"first_name": "STEVE",
"middle_name": "SLAVA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A86584",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A86584",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "95 3620366",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOA865840",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; 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.