Individual provider Active NPI

Steven Ellis, D.O.

  • Family Medicine Physician
  • Aptos, CA
National Provider Identifier
1841325024
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
020A53240 Issued in CA
Practice address
7539 Soquel Drive
Aptos, CA 95003-4926
Phone
(831) 688-1332
Fax
(831) 688-1345
NPI assigned
Feb 21, 2007
Last updated
Sep 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 020A53240 CA Primary

Addresses

Primary practice location

7539 Soquel Drive
Aptos, CA 95003-4926

Mailing address

7539 Soquel Dr
Aptos, CA 95003-3815
Phone (831) 688-1332

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
I20050725001276 CA Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 2264469808 Practice locations: Aptos, CA

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7539 Soquel Dr
Aptos, CA 95003-3815
Phone (831) 688-1332

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020A53240CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanna Physical Therapy Inc Past Accepting new patients
Anne Howard Physical Therapy, Inc., a Professional Corporation Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1841325024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7539 SOQUEL DR",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033815",
            "telephone_number": "831-688-1332",
            "fax_number": "831-688-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7539 SOQUEL DRIVE",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034926",
            "telephone_number": "831-688-1332",
            "fax_number": "831-688-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STEVEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "020A53240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aptos, CA

Sources for this page

Verify at the official NPI Registry.