Steven E Hodgkin MD a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

STEVEN E HODGKIN MD A PROFESSIONAL CORPORATION

Practice address

15366 11TH St
Suite K
Victorville, CA 92395-3726

Phone

(760) 245-6465

Fax

(760) 245-1132

NPI assigned

Aug 30, 2006

Last updated

Aug 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rolando Atiga, MD

Title

Owner

Phone

(760) 245-6465

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Lee Arnold, DO

  • Dermatology Physician
  • Downey, CA
  • NPI 1003311051
  Medicare reassignment Care Compare group NPD
• Audrey Kay Lipp, FNP

  • Nurse Practitioner
  • Victorville, CA
  • NPI 1578301719
  Medicare reassignment Care Compare group NPD
• Sharon R Strum, MD

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1700162096
  Medicare reassignment Care Compare group
• Mark S Sutton, M.D.

  • Dermatology Physician
  • Barstow, CA
  • NPI 1003841248
  Medicare reassignment NPD
• Fred F Soeprono, M.D.

  • Dermatology Physician
  • Loma Linda, CA
  • NPI 1659485746
  Medicare reassignment
• Connie Marie Labeaud

  • Massage Therapist
  • Redlands, CA
  • NPI 1568093383
  NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1699885053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15366 11TH ST",
            "address_2": "SUITE K",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953726",
            "telephone_number": "760-245-6465",
            "fax_number": "760-245-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15366 11TH ST",
            "address_2": "SUITE K",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953726",
            "telephone_number": "760-245-6465",
            "fax_number": "760-245-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN E HODGKIN MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "ATIGA",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-245-6465",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00065354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Step Up on Second Street, Inc. (Step Up On Second Street-Victorville)
• Stephen E. Hiller, M.D. a Medical Corporation (Victor Valley Emergency Physicians Medical Group, Inc.)
• Sterling Solutions
• Ke'Andra Sterling
• Louis Seth Sterling Sr., PA
• Jonathan Stevens
• Julie Stevens
• Cherisse Stevenson
• Teresa M Stewart-Thompson
• Gwendalyn Stewart

• Specialist in Victorville, CA
• Providers in Victorville, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.