Individual provider Active NPI

Steve Slava Oberemok, MD

  • Dermatology Physician
  • Hemet, CA
National Provider Identifier
1598709867
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A86584 Issued in CA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
95 3620366OtherTAX ID
OOA865840MedicaidCA

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
I20040609000967 CA Practitioner - Dermatology 7113919705 Reassigns benefits to 1 organization

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
Steve S. Oberemok, M.D., IncGroup PAC ID 3072519586, 2 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision211
Removal of tissue1-10
Removal of skin lesions1761
Removal of skin cancer478
Removal of nail tissue1-10
Removal or shaving of skin growth767
Skin biopsy191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A86584CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.