STALLANT MEDICAL GROUP INC
NPI 1366082463
Clinic/Center - Rural Health in Crescent City, CA

Active since January 07, 2020CLIA 05D2183490 · Waiver
515 E WASHINGTON BLVD, CRESCENT CITY, CA 95531(707) 460-1802 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Nov 14, 2025, Mar 30, 2023 and 2 more (5 updates tracked since 2020).

About Stallant Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STALLANT MEDICAL GROUP INC (NPI 1366082463) is a healthcare organization registered as a rural health in Crescent City, California and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through December 31, 2026 and lists Robert Steffens, Coo, as its authorized official.

NPPES Registry Identity

NPI1366082463
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSTALLANT MEDICAL GROUP INC
Location Address515 E WASHINGTON BLVDCrescent City, CA 95531-8342
Mailing AddressPo Box 518Weimar, CA 95736-0518 · (707) 460-1802
Organization SubpartNo
Authorized OfficialRobert SteffensCoo · (707) 460-1802
Enumeration DateJanuary 7, 2020
Last NPPES UpdateMay 29, 20265 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1366082463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
515 E WASHINGTON BLVD, Crescent City, CA 95531

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2183490

Stallant Medical Group Inc Stallant Health & Wellness · Crescent City, CA
Active · expires Dec 31, 2026
CLIA Number05D2183490
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDr. Randall Steffens
Laboratory Phone(707) 460-1802
Laboratory LocationStallant Medical Group Inc Stallant Health & Wellness515 E. Washington Blvd., Crescent City, CA 95531
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
515 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Dentist (General Practice)
515 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Nurse Practitioner (Family)
515 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Optometrist
515 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Physician Assistant
515 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Nurse Practitioner (Family)
515 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Nurse Practitioner (Family)
515 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Nurse Practitioner (Family)
515 E WASHINGTON BLVD
CRESCENT CITY, CA 95531

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stallant Medical Group Inc's NPI number?

The NPI number for Stallant Medical Group Inc is 1366082463. It was assigned to this organization in the NPPES registry on January 7, 2020.

Where is Stallant Medical Group Inc located?

Stallant Medical Group Inc is located at 515 E Washington Blvd, Crescent City, CA 95531. The listed phone number is (707) 460-1802.

What is Stallant Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Stallant Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2183490) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stallant Medical Group Inc was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.