Individual provider Active NPI

Martin Eugene Steckdaub, RAS, CADC, CSC

  • Addiction (Substance Use Disorder) Counselor
  • Temecula, CA
National Provider Identifier
1891982534
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
S0007170802 Issued in CA
Practice address
42225 Remington Ave.
Suite 18
Temecula, CA 92590-2563
Phone
(951) 587-4296
Fax
(951) 587-4194
NPI assigned
Sep 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X S0007170802 CA Primary

Addresses

Primary practice location

42225 Remington Ave.
Suite 18
Temecula, CA 92590-2563

Mailing address

12553 Venice Blvd Unit a
Los Angeles, CA 90066-3712
Phone (310) 754-9086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S0007170802CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1891982534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12553 VENICE BLVD UNIT A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663712",
            "telephone_number": "310-754-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42225 REMINGTON AVE.",
            "address_2": "SUITE 18",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902563",
            "telephone_number": "951-587-4296",
            "fax_number": "951-587-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKDAUB",
        "first_name": "MARTIN",
        "middle_name": "EUGENE",
        "credential": "RAS, CADC, CSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "S0007170802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.