Individual provider Active NPI

Peter Steffen, D.P.M.

  • Podiatrist
  • Pacific Grove, CA
National Provider Identifier
1669545141
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3434 Issued in CA
Practice address
505 Central Ave Ste 101
Pacific Grove, CA 93950-2755
Phone
(831) 642-0779
Fax
(831) 372-7516
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E3434 CA Primary

Addresses

Primary practice location

505 Central Ave Ste 101
Pacific Grove, CA 93950-2755

Mailing address

505 Central Ave Ste 101
Pacific Grove, CA 93950-2755
Phone (831) 642-0779

Other identifiers 1

IdentifierTypeStateIssuer
4361119MedicaidCA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3434CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
J. Gary Grant, MD, Inc. Past Accepting new patients
Songbird Care Homes LLC PastSince Mar 11, 2025 Accepting new patients

Organizations & group practices 2

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669545141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CENTRAL AVE STE 101",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502755",
            "telephone_number": "831-642-0779",
            "fax_number": "831-372-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CENTRAL AVE STE 101",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502755",
            "telephone_number": "831-642-0779",
            "fax_number": "831-372-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFEN",
        "first_name": "PETER",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4361119",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.