Individual provider Active NPI

Steven L Nelson, MD

  • Surgery Physician
  • Yreka, CA
National Provider Identifier
1861497125
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G41582 Issued in CA
Practice address
814 N Main St
Yreka, CA 96097-2538
Phone
(530) 842-1293
Fax
(530) 842-9054
NPI assigned
Jun 14, 2005
Last updated
Feb 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G41582 CA Primary

Addresses

Primary practice location

814 N Main St
Yreka, CA 96097-2538

Mailing address

PO Box 1066
Yreka, CA 96097-1066
Phone (530) 842-1293

Other identifiers 1

IdentifierTypeStateIssuer
GR00158705MedicaidCA

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
I20080520000406 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 0143399931

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41582CAMDMarriage & Family Therapist
G41582CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven L Nelson, M.D.Inc Surgery CurrentSince Apr 1, 2008 Accepting new patients

Locations

814 N Main St
Yreka, CA 96097
Phone (530) 842-1293

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1861497125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960971066",
            "telephone_number": "530-842-1293",
            "fax_number": "530-842-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N MAIN ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960972538",
            "telephone_number": "530-842-1293",
            "fax_number": "530-842-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G41582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR00158705",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

Verify at the official NPI Registry.