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: October 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stallant Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Stallant Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 9

Nurse Practitioner8
Clinical Social Worker2
Family Practice2
Internal Medicine2
Podiatry2
Chiropractic1
Marriage and Family Therapist1
Physical Therapist in Private Practice1
1 other specialty1

Clinicians, nearest first (20)

Nurse Practitioner
NPI 1396176202
515 E WASHINGTON BLVD
Crescent City, CA 95531
(707) 460-1802
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1285025486
515 E WASHINGTON BLVD
Crescent City, CA 95531
(707) 460-1802
✔ PECOS✔ Accepts MedicareSame address
Chiropractic
NPI 1932113982
785 E WASHINGTON BLVD STE 5
Crescent City, CA 95531
(707) 464-2921
✔ Accepts Medicare0.8 mi
Marriage and Family Therapist
NPI 1306178751
934 4TH ST
Crescent City, CA 95531
(707) 954-0383
✔ PECOS1.5 mi
Podiatry
NPI 1598012395
2020 FIFTH STREET SUITE #1184
Davis, CA 95617
(530) 683-5789
✔ PECOS✔ Accepts Medicare258 mi
Clinical Social Worker
NPI 1194318634
2 NELSON LN
Orinda, CA 94563
(925) 787-3590
✔ PECOS291 mi
Podiatry
NPI 1487965448
3771 KATELLA AVE STE 100
Los Alamitos, CA 90720
(562) 799-3474
✔ PECOS✔ Accepts Medicare644 mi
Internal Medicine
NPI 1104939990
1661 GOLDEN RAIN RD
Seal Beach, CA 90740
(562) 493-9581
✔ PECOS✔ Accepts Medicare646 mi
Physical Therapist in Private Practice
NPI 1558230698
27811 GREENSPOT RD STE A
Highland, CA 92346
(909) 443-4584
652 mi
Nurse Practitioner
NPI 1891403853
27811 GREENSPOT RD
Highland, CA 92346
(909) 443-2584
✔ PECOS652 mi
Registered Dietitian or Nutrition Professional
NPI 1346071917
1695 S SAN JACINTO AVE STE A
San Jacinto, CA 92583
(951) 330-3100
679 mi
Family Practice
NPI 1558352963
1 FOSTER LANE
Reserve, NM 87830
(575) 533-6456
✔ PECOS✔ Accepts Medicare1,007 mi
Nurse Practitioner
NPI 1699406090
5901 HARPER DR NE LOWR LEVEL
Albuquerque, NM 87109
(505) 823-8282
✔ PECOS✔ Accepts Medicare1,057 mi
Nurse Practitioner
NPI 1366165102
1465 E PARKDALE AVE
Manistee, MI 49660
(231) 876-6421
✔ PECOS✔ Accepts Medicare1,912 mi
Nurse Practitioner
NPI 1710417696
979 E 3RD ST STE C-520
Chattanooga, TN 37403
(423) 778-5661
✔ PECOS✔ Accepts Medicare2,143 mi
Nurse Practitioner
NPI 1073985834
2308 CURTIS AVE
Saint Albans, WV 25177
(304) 400-7241
✔ PECOS✔ Accepts Medicare2,237 mi
Internal Medicine
NPI 1518494921
13800 VETERANS WAY
Orlando, FL 32827
(407) 631-2060
✔ PECOS2,572 mi
Nurse Practitioner
NPI 1114762739
2520 ZANDER TER
North Port, FL 34286
(941) 586-8160
✔ PECOS✔ Accepts Medicare2,576 mi
Nurse Practitioner
NPI 1790441871
515 E WASHINGTON BLVD
Crescent City, CA 95531
(707) 460-1802
✔ PECOS✔ Accepts Medicare
Family Practice
NPI 1992745079
515 E WASHINGTON BLVD
Crescent City, CA 95531
(707) 460-1802
✔ PECOS✔ Accepts Medicare

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Stallant Medical Group Inc enrolled in Medicare?

Yes. Stallant Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stallant Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 9 Medicare specialties reassign their Medicare billing to Stallant Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Clinical Social Worker (2) and Family Practice (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 5 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.