Individual provider Active NPI

Steven Jay Block, M.D.

  • Cardiovascular Disease Physician
  • Lodi, CA
National Provider Identifier
1780688515
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G23058 Issued in CA
Practice address
777 S Ham LN
Ste G
Lodi, CA 95242-3593
Phone
(209) 334-3278
Fax
(209) 334-1727
NPI assigned
Jun 9, 2005
Reactivated
Apr 4, 2006
Last updated
May 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G23058 CA Primary

Addresses

Primary practice location

777 S Ham LN
Ste G
Lodi, CA 95242-3593

Mailing address

777 S Ham LN
Ste G
Lodi, CA 95242-3593
Phone (209) 334-3278

Other practice location 1

840 S Fairmont Ave
Lodi, CA 95240-3972
Phone (209) 334-3278

Other identifiers 6

IdentifierTypeStateIssuer
00G230580OtherCABLUE CROSS
038331OtherHILL PHYSICIAN'S MED GP
001516OtherHEALTH NET
00G230580OtherCABLUE SHIELD
680095512OtherCHAMPUS
00G230580MedicaidCA

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
I20090612000034 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2567512502 Practice locations: Lodi, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Boston University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

777 S Ham LN
Lodi, CA 95242-3593
Phone (209) 334-3278

777 S Ham LN G
Lodi, CA 95242-3593

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G23058CAMDCardiovascular Disease Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: steven.block.1@3242.direct.athenahealth.com

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1780688515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S HAM LN",
            "address_2": "STE G",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423593",
            "telephone_number": "209-334-3278",
            "fax_number": "209-334-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S HAM LN",
            "address_2": "STE G",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423593",
            "telephone_number": "209-334-3278",
            "fax_number": "209-334-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 S Fairmont Ave",
            "address_purpose": "LOCATION",
            "city": "Lodi",
            "state": "CA",
            "postal_code": "952403972",
            "country_code": "US",
            "telephone_number": "209-334-3278",
            "fax_number": "209-334-1727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "STEVEN",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G23058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00G230580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILL PHYSICIAN'S MED GP",
            "identifier": "038331",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "001516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G230580",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "680095512",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G230580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.