Healthcare Provider Details

I. General information

NPI: 1578692240
Provider Name (Legal Business Name): STEVE ANTHONY JAMES N.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11234 ANDERSON ST
LOMA LINDA CA
92354-2804
US

IV. Provider business mailing address

330 W MARIPOSA DR
REDLANDS CA
92373-7234
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-4341
  • Fax: 909-558-0100
Mailing address:
  • Phone: 909-792-6241
  • Fax: 909-792-6241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number417232
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: