Individual provider Active NPI

Steven Eric Siegal, M.D.

  • Specialist
  • Fairfield, CA
National Provider Identifier
1871598573
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME90725 Issued in FL
Practice address
1101 B Gale Wilson Blvd
Suite 101C
Fairfield, CA 94533-3700
Phone
(707) 646-4644
Fax
(707) 646-4645
NPI assigned
Jun 17, 2005
Last updated
Oct 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME90725 FL Primary

Addresses

Primary practice location

1101 B Gale Wilson Blvd
Suite 101C
Fairfield, CA 94533-3700

Mailing address

1101 B Gale Wilson Blvd
Suite 101C
Fairfield, CA 94533-3700
Phone (707) 646-4644

Other identifiers 1

IdentifierTypeStateIssuer
270244400MedicaidFL

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
I20060220000208 CA Practitioner - Orthopedic Surgery 3678540101 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Mayo Medical School, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Douglas J Abeles MD IncGroup PAC ID 1456449453, 4 clinicians

Practice addresses (Care Compare)

100 Mission Blvd
Jackson, CA 95642-2536

200 Mission Blvd
Jackson, CA 95642-2564
Phone (916) 733-3777

21030 Redwood Rd
Castro Valley, CA 94546-5920
Phone (510) 538-0430

2800 L St
Sacramento, CA 95816-5616

815 Court St
Jackson, CA 95642-2154

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90725FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas J Abeles, MD, Inc. Specialist CurrentSince Jul 1, 2024 Accepting new patients
DHP of Twin Cities Medical Group Inc CurrentSince Apr 23, 2018 Accepting new patients
Washington Township Medical Foundation CurrentSince May 15, 2011 Accepting new patients
Washington Township Medical Foundation CurrentSince May 15, 2011 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 13, 2024 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Feb 9, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 13, 2024 Accepting new patients
Surgical Affiliates of California CurrentSince Jun 15, 2024 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Washington Township Hospital District Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Sutter Regional Medical Foundation Past Accepting new patients
Fairfield on-Call Specialists PC Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

21030 Redwood Rd
Castro Valley, CA 94546
Phone (510) 538-0430

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

414 G St
Ste 120
Marysville, CA 95901
Phone (530) 749-2110

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2725 Capitol Ave
Dept 302
Sacramento, CA 95816
Phone (916) 262-9440

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ssiegal@abeles.emadirect.md
  • Direct secure messaging: ssiegal11701@direct.whhs.com
  • Direct secure messaging: ssiegal236751@hisp.ehr.sutterhealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1871598573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 B GALE WILSON BLVD",
            "address_2": "SUITE 101C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333700",
            "telephone_number": "707-646-4644",
            "fax_number": "707-646-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 B GALE WILSON BLVD",
            "address_2": "SUITE 101C",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333700",
            "telephone_number": "707-646-4644",
            "fax_number": "707-646-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGAL",
        "first_name": "STEVEN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME90725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270244400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.