Healthcare Provider Details

I. General information

NPI: 1306096300
Provider Name (Legal Business Name): STEPHEN R HOFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12313 SOARING WAY STE 1C
TRUCKEE CA
96161-3353
US

IV. Provider business mailing address

12313 SOARING WAY STE 1C
TRUCKEE CA
96161-3353
US

V. Phone/Fax

Practice location:
  • Phone: 530-587-6011
  • Fax:
Mailing address:
  • Phone: 530-587-6011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberA111915
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number28617
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number036127678
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: