Active NPI
Steven Porter, M.D., PH.D.
- Infectious Disease Physician
- Mill Valley, CA
National Provider Identifier
1740526524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- G065587
- Practice address
- 64 Mountain View Ave
Mill Valley, CA 94941-2053 - Phone
- (415) 388-1052
- NPI assigned
- Dec 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | G065587 | CA | Primary |
Addresses
Primary practice location
64 Mountain View Ave
Mill Valley, CA 94941-2053
Mailing address
64 Mountain View Ave
Mill Valley, CA 94941-2053
Phone (415) 388-1052
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)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G065587 | CA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356134400000",
"number": "1740526524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 MOUNTAIN VIEW AVE",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412053",
"telephone_number": "415-388-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MOUNTAIN VIEW AVE",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412053",
"telephone_number": "415-388-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-22",
"last_updated": "2012-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "G065587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.