Individual provider Active NPI

Randall L Steffens Sr., DO

  • Emergency Medicine Physician
  • Crescent City, CA
National Provider Identifier
1992745079
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1231 Issued in TN
Practice address
515 E Washington Blvd
Crescent City, CA 95531-8342
Phone
(707) 460-1802
Fax
(833) 916-2036
NPI assigned
Jun 7, 2006
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1231 TN Primary
Family Medicine Physician 207Q00000X 20A9918 CA

Addresses

Primary practice location

515 E Washington Blvd
Crescent City, CA 95531-8342

Mailing address

515 E Washington Blvd
Crescent City, CA 95531-8342
Phone (615) 604-0142

Other practice location 1

27811 Greenspot Rd
Highland, CA 92346-4361
Phone (909) 443-2584

Other identifiers 3

IdentifierTypeStateIssuer
4027864OtherTNBCBS
P00282944OtherTNRAILROAD MEDICARE
3862671MedicaidTN

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
I20070605000497 CA Practitioner - Family PracticePractitioner - Emergency Medicine 7517995681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
West Virginia School of Osteopathic Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stallant Medical Group IncGroup PAC ID 6406283845, shared by 2 NPIs, 17 clinicians

Practice addresses (Care Compare)

27811 Greenspot Rd
Highland, CA 92346-4361
Phone (909) 443-2584

515 E Washington Blvd
Crescent City, CA 95531-8342
Phone (707) 460-1802

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A9918CAMDFamily Medicine Physician
7102TNMDPhysical Therapist
1231TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stallant Medical Group Inc Family Medicine CurrentSince Nov 15, 2025 Accepting new patients
Stallant Medical Group Inc CurrentSince Nov 15, 2025 Accepting new patients
Newstart Medical Group Inc CurrentSince Jul 21, 2014 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Sycamore Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Emcare Physician Providers, Inc. Emergency Medicine Past Accepting new patients

Locations

20601 Paoli Ln
Colfax, CA 95713
Phone (530) 637-4025

515 E Washington Blvd
Crescent City, CA 95531
Phone (707) 460-1802

785 E Washington Blvd
Ste 8
Crescent City, CA 95531
Phone (707) 460-1802

27811 Greenspot Rd
Highland, CA 92346
Phone (909) 443-2584

27811 Greenspot Rd
Ste A
Highland, CA 92346
Phone (909) 443-2584

Interoperability endpoints

  • Direct secure messaging: randall.steffens.1@33456.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Stallant Health and WellnessCrescent City, CA, CCN 558906 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
Nov 7, 2019
Nov 7, 2019
Nov 7, 2019
Stallant Health & WellnessHighland, CA, CCN 558920 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer
Corporate Director (100%)
W-2 Managing Employee
Nov 7, 2019
Nov 7, 2019
Nov 7, 2019
Nov 7, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1992745079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E WASHINGTON BLVD",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318342",
            "telephone_number": "615-604-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E WASHINGTON BLVD",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955318342",
            "telephone_number": "707-460-1802",
            "fax_number": "833-916-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27811 Greenspot Rd",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "CA",
            "postal_code": "923464361",
            "country_code": "US",
            "telephone_number": "909-443-2584",
            "fax_number": "909-752-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFFENS",
        "first_name": "RANDALL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "1231",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9918",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4027864",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00282944",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3862671",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, CA

Sources for this page

Verify at the official NPI Registry.