Active NPI
Steven Littlewood, M.D.
- Otolaryngology Physician
- Elk Grove, CA
National Provider Identifier
1871699439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A45108
- Practice address
- 9394 Big Horn Blvd
Elk Grove, CA 95758-7977 - Phone
- (916) 691-8500
- Fax
- (916) 691-8599
- NPI assigned
- Sep 14, 2006
- Last updated
- Feb 10, 2012
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A45108 | CA | Primary |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | A45108 | CA |
Addresses
Primary practice location
9394 Big Horn Blvd
Elk Grove, CA 95758-7977
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417888 | Other | CA | UNITED HEALTHCARE |
| 4083257 | Other | CA | AETNA |
| 2111376 | Other | CA | FIRST HEALTH |
| 90143263 | Other | CA | PACIFICARE |
| A45108 | Other | CA | BLUE CROSS |
| 00A451080 | Medicaid | CA | |
| 1738531 | Other | CA | GREAT WEST |
| MCMG358200 | Other | CA | WESTERN HEALTH ADVANTAGE |
| 101141 | Other | CA | HEALTH NET |
| 2243290 | Other | CA | CIGNA |
| 000810623088 | Other | CA | PHCS |
| 94762 | Other | CA | INTERPLAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041217000462 | CA | Practitioner - Otolaryngology | 8022075357 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45108 | CA | MD | Dentist |
| A45108 | CA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1871699439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9394 BIG HORN BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587977",
"telephone_number": "916-691-8500",
"fax_number": "916-691-8599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLEWOOD",
"first_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A45108",
"primary": true
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "CA",
"license": "A45108",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "417888",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4083257",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2111376",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "90143263",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "A45108",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A451080",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "1738531",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WESTERN HEALTH ADVANTAGE",
"identifier": "MCMG358200",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "101141",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2243290",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "000810623088",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERPLAN",
"identifier": "94762",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.