STEPHEN R STEELE DO INC (NPI# 1902015498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902015498 |
| Entity Type | Organization |
| Organization Name | STEPHEN R STEELE DO INC |
| Other Organization Name | ADVANTAGE SPORTS AND WELLNESS MEDICAL CENTER |
| Practice Address |
78120 Wildcat Dr Palm Desert CA 92211-1140 |
| Practice Telephone | 7603601433 |
| Practice Fax Number | 7603605092 |
| Mailing Telephone | 7603601433 |
| Mailing Fax Number | 7603605092 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2008-11-20 |
| Authorized Official Name | DR. STEPHEN R STEELE (PRESIDENT) |
| Authorized Official Telephone | 7603601433 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
20A555 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE | 20A555 | 01 |
| TYPE 1 NPI NUMBER | 1285632604 | 01 |
| Other Name | Type Code |
|---|---|
| ADVANTAGE SPORTS AND WELLNESS MEDICAL CENTER | Doing Business As Name - Organization |
| Street Address |
78120 WILDCAT DR |
| City | PALM DESERT |
| State | CA |
| Zip Code | 92211-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430144 | Daniel Lopez | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2005-07-13 |
| 1891221073 | Ramanpreet Brar | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2017-05-05 |
| 1073052791 | Amir Hossein Mortazavientesab | Internal Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2017-02-14 |
| 1215339676 | Tiffany Bell Davlantes | Nurse Practitioner | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2014-09-17 |
| 1750713145 | Mark Morton Minot | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2013-08-07 |
| 1639453905 | Reham Attia | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2011-10-05 |
| 1053435032 | Aurora L Benson | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-03-16 |
| 1760506745 | Mark Benson | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-03-16 |
| 1932266103 | Mark Tolentino Dela Cruz | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2007-01-03 |
| 1487674701 | Clement C. Au | Family Medicine | 78120 Wildcat Dr, Palm Desert, CA 92211-1140 | 2006-07-20 |
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|---|---|---|---|---|
| 1780293936 | Childnet Youth and Family Services, Inc. | Community/Behavioral Health | 42-600 Cook Street, Suite 100, Palm Desert, CA 92211 | 2020-07-23 |
| 1003457607 | Catherine Krumplitsch | Technician | 41430 Kansas Street, Palm Desert, CA 92211 | 2019-10-04 |
| 1942702055 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln # 100-200, Palm Desert, CA 92211 | 2018-03-05 |
| 1992248918 | West Coast Surgery Inc | Orthopaedic Surgery | 36915 Cook Street, Suite 103 B, Palm Desert, CA 92211 | 2016-11-22 |
| 1063963098 | Therese Tudor | Physical Therapist | 77-682 Country Club Drive, Suite G, Palm Desert, CA 92211 | 2016-10-14 |
| 1609249663 | John D Rasmussen | Anesthesiology | 160 Running Spring Drive, Palm Desert, CA 92211 | 2015-11-12 |
| 1033580113 | Executive Recovery Group, Inc | Substance Abuse Rehabilitation Facility | 35450 Pegasus Ct, Palm Desert, CA 92211 | 2015-10-14 |
| 1861862146 | Artur Sarkisyan | Dentist | 34-460 Monterey Ave Ste 100, Palm Desert, CA 92211 | 2015-09-30 |
| 1649686833 | Annamaria Valenzuela | Licensed Vocational Nurse | 77-777 Country Club Drive, Apt 235, Palm Desert, CA 92211 | 2014-07-08 |
| 1265876759 | Guardian Angel Home Care, Inc. | Home Health | 41865 Boardwalk, Suite 215, Palm Desert, CA 92211 | 2013-04-26 |
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| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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| 1760801880 | Kyle William Meyer | Family Medicine | 24910 Las Brisas Rd Ste 105, Murrieta, CA 92562 | 2014-04-16 |
| 1720403553 | Dianne Longo | Family Medicine | 1319 Evergreen Ave, Apt N2, Fullerton, CA 92835-2063 | 2014-03-03 |
| 1255760633 | Steven William Marles | Family Medicine | 4265 Tapestry Way, Turlock, CA 95382-7448 | 2013-11-05 |
| 1497098909 | Joshua David Sampson | Family Medicine | 2299 Post St Ste 107, San Francisco, CA 94115-3460 | 2013-04-03 |
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
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| City | PALM DESERT |
| Zip Code | 92211 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.