Individual provider Active NPI

Steven M Pittson, D.C.

  • Chiropractor
  • Patterson, CA
National Provider Identifier
1760404032
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0175320 Issued in CA
Practice address
420 W Las Palmas Ave
Patterson, CA 95363-2542
Phone
(209) 892-2915
Fax
(209) 892-2938
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0175320 CA Primary

Addresses

Primary practice location

420 W Las Palmas Ave
Patterson, CA 95363-2542

Mailing address

420 W Las Palmas Ave
Patterson, CA 95363-2542
Phone (209) 892-2915

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000518 CA Practitioner - Chiropractic 6103084579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 W Las Palmas Ave
Patterson, CA 95363-2542
Phone (209) 892-2915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC0175320CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Steven M Pittson Chiropractic Inc Chiropractor CurrentSince Oct 1, 2011 Accepting new patients

Locations

420 W Las Palmas Ave
Patterson, CA 95363
Phone (209) 892-2161

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Del Puerto Health CenterPatterson, CA, CCN 058901 Rural health clinic Other Jan 14, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1760404032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W LAS PALMAS AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632542",
            "telephone_number": "209-892-2915",
            "fax_number": "209-892-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W LAS PALMAS AVE",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953632542",
            "telephone_number": "209-892-2915",
            "fax_number": "209-892-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTSON",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC0175320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patterson, CA

Sources for this page

Verify at the official NPI Registry.