Organization Active NPI

Roger B. Steele M.D., Inx

  • Endocrinology, Diabetes & Metabolism Physician
  • San Luis Obispo, CA
National Provider Identifier
1699915728
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
G20101 Issued in CA
Legal business name
ROGER B. STEELE M.D., INX
Practice address
1250 Peach St
Ste H
San Luis Obispo, CA 93401-2837
Phone
(805) 541-1671
Fax
(805) 549-8414
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Roger Bruce Steele, M.D.
Title
Physician
Phone
(805) 541-1671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X G20101 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

Other identifiers 1

IdentifierTypeStateIssuer
00G201010MedicaidCA

National Provider Directory

National Provider Directory

Locations

1250 Peach St
Ste H
Sn Luis Obisp, CA 93401
Phone (805) 349-8972

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1699915728",
    "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": {
        "organization_name": "ROGER B. STEELE M.D., INX",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "805-541-1671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "G20101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G201010",
            "state": "CA"
        }
    ],
    "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 Mar 2, 2009; 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.