Active NPI
Roger Bruce Steele, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- San Luis Obispo, CA
National Provider Identifier
1689685299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- G20201
- Practice address
- 1250 Peach St
Ste H
San Luis Obispo, CA 93401-2837 - Phone
- (805) 541-1671
- Fax
- (805) 549-8414
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | G20201 | CA | Primary |
Addresses
Primary practice location
1250 Peach St
Ste H
San Luis Obispo, CA 93401-2837
Mailing address
1250 Peach St
Ste H
San Luis Obispo, CA 93401-2837
Phone (805) 541-1671
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20101 | CA | MD | General Practice Dentistry |
| G20201 | CA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689685299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 PEACH ST",
"address_2": "STE H",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012837",
"telephone_number": "805-541-1671",
"fax_number": "805-549-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 PEACH ST",
"address_2": "STE H",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934012837",
"telephone_number": "805-541-1671",
"fax_number": "805-549-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "ROGER",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "G20201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.