Provider Demographics
NPI:1376546259
Name:SWARTZ, STEVEN L (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:L
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16122 SANTA BARBARA LN
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-2178
Mailing Address - Country:US
Mailing Address - Phone:714-841-3213
Mailing Address - Fax:714-840-6461
Practice Address - Street 1:17742 BEACH BLVD STE 340
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-6872
Practice Address - Country:US
Practice Address - Phone:714-841-3213
Practice Address - Fax:714-841-0434
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2539213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E25390Medicaid
CAT11374Medicare UPIN
CAE2539AMedicare PIN
CAE2539CMedicare PIN
CAE2539Medicare PIN
CA1289590001Medicare NSC
CAE2539BMedicare PIN