Healthcare Provider Details

I. General information

NPI: 1376540534
Provider Name (Legal Business Name): STEVEN PAUL PLASKIN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 4TH AVE SUITE 19
CHULA VISTA CA
91910-3813
US

IV. Provider business mailing address

340 4TH AVE SUITE 19
CHULA VISTA CA
91910-3813
US

V. Phone/Fax

Practice location:
  • Phone: 619-427-2411
  • Fax: 619-427-5380
Mailing address:
  • Phone: 619-427-2411
  • Fax: 619-427-5380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberE2853
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberE2835
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE2835
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: