Active NPI
Steven C Arendt, MD
- Family Medicine Physician
- Rancho Mirage, CA
National Provider Identifier
1811937824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G88783
- Practice address
- 72780 Country Club Dr
Building B Suite 205
Rancho Mirage, CA 92270-4126 - Phone
- (760) 834-7900
- Fax
- (760) 834-7901
- NPI assigned
- Jun 7, 2006
- Last updated
- Nov 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00021697 | WA | |
| Family Medicine Physician | 207Q00000X | G88783 | CA | Primary |
Addresses
Primary practice location
72780 Country Club Dr
Building B Suite 205
Rancho Mirage, CA 92270-4126
Mailing address
39000 Bob Hope Dr
LCCC 2ND Floor
Rancho Mirage, CA 92270-3221
Phone (760) 674-3647
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
| License | State | Type | Specialty |
|---|---|---|---|
| G88783 | CA | MD | Family Medicine Physician |
| MD00021697 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1811937824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "LCCC 2ND FLOOR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-674-3647",
"fax_number": "760-674-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72780 COUNTRY CLUB DR",
"address_2": "BUILDING B SUITE 205",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704126",
"telephone_number": "760-834-7900",
"fax_number": "760-834-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENDT",
"first_name": "STEVEN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00021697",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G88783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.