Organization Active NPI

Rostep Medical Center Inc

  • Adolescent Medicine (Internal Medicine) Physician
  • Pasadena, CA
National Provider Identifier
1629806310
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
Legal business name
ROSTEP MEDICAL CENTER INC
Practice address
171 N Altadena Dr Ste 201
Pasadena, CA 91107-7319
Phone
(747) 361-9759
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Robert Stepanov
Title
Ceo
Phone
(747) 361-9759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RA0000X Primary

Addresses

Primary practice location

171 N Altadena Dr Ste 201
Pasadena, CA 91107-7319

Mailing address

171 N Altadena Dr Ste 201
Pasadena, CA 91107-7319
Phone (747) 361-9759

National Provider Directory

National Provider Directory

Locations

171 N Altadena Dr
Ste 201
Pasadena, CA 91107
Phone (747) 361-9759

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1629806310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 N ALTADENA DR STE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077319",
            "telephone_number": "747-361-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N ALTADENA DR STE 201",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077319",
            "telephone_number": "747-361-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSTEP MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "STEPANOV",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-361-9759"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.