Active NPI
Peter Steffen, D.P.M.
- Podiatrist
- Pacific Grove, CA
National Provider Identifier
1669545141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3434
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4361119 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| E3434 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Gary Grant, MD, Inc. | Past | Accepting new patients | |
| Songbird Care Homes LLC | Past | 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.
-
- Internal Medicine Physician
- Pacific Grove, CA
- NPI 1053427013
-
- Assisted Living Facility
- Monterey, CA
- NPI 1205633922
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.