Organization Active NPI

Steven Calleros MD Inc.

  • Health Maintenance Organization
  • Los Angeles, CA
National Provider Identifier
1861682593
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
A73924 Issued in CA
Legal business name
STEVEN CALLEROS MD INC.
Practice address
4499 Via Marisol Apt 107a
Los Angeles, CA 90042-5129
Phone
(818) 314-8300
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Authorized official

Name
Dr. Steven Calleros
Title
President
Phone
(818) 314-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X A73924 CA Primary

Addresses

Primary practice location

4499 Via Marisol Apt 107a
Los Angeles, CA 90042-5129

Mailing address

4499 Via Marisol Apt 107a
Los Angeles, CA 90042-5129
Phone (818) 314-8300

National Provider Directory

National Provider Directory
Tax ID family
Steven Calleros MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1861682593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4499 VIA MARISOL APT 107A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900425129",
            "telephone_number": "818-314-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 VIA MARISOL APT 107A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900425129",
            "telephone_number": "818-314-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN CALLEROS MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "CALLEROS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-314-8300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A73924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.