Individual provider Active NPI

Steven G Gwiazdowski, MD

  • Neonatal-Perinatal Medicine Physician
  • Fairfield, CA
National Provider Identifier
1710037684
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
G683240 Issued in CA
Practice address
1860 Pennsylvania Ave Ste 145
Fairfield, CA 94533-3547
Phone
(707) 646-4051
Fax
(707) 646-5323
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X G683240 CA Primary

Addresses

Primary practice location

1860 Pennsylvania Ave Ste 145
Fairfield, CA 94533-3547

Mailing address

1860 Pennsylvania Ave Ste 145
Fairfield, CA 94533-3547
Phone (707) 429-6908

Other practice location 1

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-5102

Other identifiers 1

IdentifierTypeStateIssuer
GR0040030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003003445 CA Practitioner - Pediatric MedicinePractitioner - Other (Physician) 9830086875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Virginia Commonwealth University, School of Medicine, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552

2001 The Embarcadero
San Francisco, CA 94143-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G683240CAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Sep 19, 2025 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 19, 2025 Accepting new patients
University of California San Francisco CurrentSince Sep 19, 2025 Accepting new patients
Northbay Neonatology Associates, Inc Neonatal-Perinatal Medicine CurrentSince Dec 1, 2017 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 19, 2025 Accepting new patients
UCSF Pediatrics Associates Neonatal-Perinatal Medicine CurrentSince Sep 19, 2025 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

1860 Pennsylvania Ave
Ste 145
Fairfield, CA 94533
Phone (707) 646-4051

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

Interoperability endpoints

  • Direct secure messaging: sgwiazdowski223595@hisp.ehr.sutterhealth.org

Organizations & group practices 8

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1710037684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PENNSYLVANIA AVE STE 145",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333547",
            "telephone_number": "707-429-6908",
            "fax_number": "707-429-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 PENNSYLVANIA AVE STE 145",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333547",
            "telephone_number": "707-646-4051",
            "fax_number": "707-646-5323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892574",
            "country_code": "US",
            "telephone_number": "707-554-5102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWIAZDOWSKI",
        "first_name": "STEVEN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "G683240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0040030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.