Provider Demographics
NPI:1184632077
Name:ROCCHI, STEVEN A (OD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:ROCCHI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 MYERS ST
Mailing Address - Street 2:STE A
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-4965
Mailing Address - Country:US
Mailing Address - Phone:530-533-6604
Mailing Address - Fax:530-533-6568
Practice Address - Street 1:1550 MYERS ST
Practice Address - Street 2:STE A
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-4965
Practice Address - Country:US
Practice Address - Phone:530-533-6604
Practice Address - Fax:530-533-6568
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA07323TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGSD001930Medicaid
CADH0649OtherMEDICARE RAILROAD CARRIER
CAZZZ55000YOtherBLUE SHIELD OF CALIFORNIA
CAP004790119OtherMEDICARE RAILROAD CARRIER
CAP004790119OtherMEDICARE RAILROAD CARRIER
CADH0649OtherMEDICARE RAILROAD CARRIER
T10510Medicare UPIN
CASD0073230Medicare PIN