Active NPI
Michael Stecker, M.D.
- Diagnostic Radiology Physician
- Los Angeles, CA
National Provider Identifier
1619213402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G17771
- Practice address
- 2955 Motor Ave
Los Angeles, CA 90064-4530 - Phone
- (310) 839-4221
- NPI assigned
- Dec 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G17771 | CA | Primary |
Addresses
Primary practice location
2955 Motor Ave
Los Angeles, CA 90064-4530
Mailing address
2955 Motor Ave
Los Angeles, CA 90064-4530
Phone (310) 839-4221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G17771 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356307200000",
"number": "1619213402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2955 MOTOR AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900644530",
"telephone_number": "310-839-4221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 MOTOR AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900644530",
"telephone_number": "310-839-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECKER",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-24",
"last_updated": "2012-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G17771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.