Provider Demographics
NPI:1184694762
Name:STEINBERG, STUART C (DPM)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:C
Last Name:STEINBERG
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 1:11273 DONA LISA DR
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-4314
Mailing Address - Country:US
Mailing Address - Phone:323-650-8947
Mailing Address - Fax:323-656-8265
Practice Address - Street 1:3322 W MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2907
Practice Address - Country:US
Practice Address - Phone:818-848-5586
Practice Address - Fax:818-848-2067
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2586213E00000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E25861Medicaid
CAZZZ09632ZOtherBLUE SHIELD GROUP ID
CAWE2586AMedicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
CAWE10313Medicare ID - Type UnspecifiedGROUP MEDICARE ID
CA5289160001Medicare NSC
CA000E25861Medicaid
CACS4238Medicare ID - Type UnspecifiedMEDICARE RAILROAD GRP ID