Individual provider Active NPI

Steve Darmawan, MD

  • Pediatrics Physician
  • Salinas, CA
National Provider Identifier
1720079924
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A85492 Issued in CA
Practice address
333 Abbott St Ste C
Salinas, CA 93901-4486
Phone
(831) 288-8811
Fax
(831) 998-7809
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A85492 CA Primary

Addresses

Primary practice location

333 Abbott St Ste C
Salinas, CA 93901-4486

Mailing address

333 Abbott St Ste C
Salinas, CA 93901-4486
Phone (831) 288-8811

Other identifiers 2

IdentifierTypeStateIssuer
11496065OtherCACAQH
176005001MedicaidCA

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

LicenseStateTypeSpecialty
A85492CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Junipero Clinic, Inc. Pediatrics CurrentSince Sep 25, 2022 Accepting new patients

Locations

333 Abbott St
Ste C
Salinas, CA 93901
Phone (831) 288-8811

Interoperability endpoints

  • Direct secure messaging: admin@salinaspediatricmedicalgroup.e-mdsdirect.com

Organizations & group practices 1

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1720079924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ABBOTT ST STE C",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014486",
            "telephone_number": "831-288-8811",
            "fax_number": "831-998-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ABBOTT ST STE C",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014486",
            "telephone_number": "831-288-8811",
            "fax_number": "831-998-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMAWAN",
        "first_name": "STEVE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A85492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11496065",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176005001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.