Provider Demographics
NPI:1740626860
Name:DEEMING, STEVEN (CNA)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:DEEMING
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 NEWPORT ST
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-4214
Mailing Address - Country:US
Mailing Address - Phone:760-845-2637
Mailing Address - Fax:
Practice Address - Street 1:933 NEWPORT ST
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-4214
Practice Address - Country:US
Practice Address - Phone:760-845-2637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00779837376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide