NPIMap

Organization Active NPI

Stephen R Steele DO Inc

  • Sports Medicine (Family Medicine) Physician
  • Palm Desert, CA
National Provider Identifier
1902015498
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
20A555 Issued in CA
Legal business name
STEPHEN R STEELE DO INC
Practice address
78120 Wildcat Dr
Palm Desert, CA 92211-1140
Phone
(760) 360-1433
Fax
(760) 360-5092
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Stephen R Steele, D.O.NPI 1285632604
Title
President
Phone
(760) 360-1433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X 20A555 CA Primary

Addresses

Primary practice location

78120 Wildcat Dr
Palm Desert, CA 92211-1140

Mailing address

78120 Wildcat Dr
Palm Desert, CA 92211-1140
Phone (760) 360-1433

Other identifiers 2

IdentifierTypeStateIssuer
1285632604OtherTYPE 1 NPI NUMBER
20A555OtherCALICENSE

Other names 1

  • ADVANTAGE SPORTS AND WELLNESS MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1902015498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78120 WILDCAT DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922111140",
            "telephone_number": "760-360-1433",
            "fax_number": "760-360-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78120 WILDCAT DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922111140",
            "telephone_number": "760-360-1433",
            "fax_number": "760-360-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R STEELE DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "STEELE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-360-1433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI NUMBER",
            "identifier": "1285632604",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A555",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANTAGE SPORTS AND WELLNESS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.