Provider Demographics
NPI:1215087770
Name:FARMER, STEVEN G (DPM)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:G
Last Name:FARMER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1173 ADENA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92069-8124
Mailing Address - Country:US
Mailing Address - Phone:760-420-8848
Mailing Address - Fax:619-749-8434
Practice Address - Street 1:1146 SAN MARINO DR
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-4649
Practice Address - Country:US
Practice Address - Phone:760-420-8848
Practice Address - Fax:760-736-8935
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2895213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE2895Medicare PIN
CAT11513Medicare UPIN