Provider Demographics
NPI:1871699439
Name:LITTLEWOOD, STEVEN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:LITTLEWOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9394 BIG HORN BLVD
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7977
Practice Address - Country:US
Practice Address - Phone:916-691-8500
Practice Address - Fax:916-691-8599
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45108207Y00000X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA417888OtherUNITED HEALTHCARE
CA4083257OtherAETNA
CA2111376OtherFIRST HEALTH
CA90143263OtherPACIFICARE
CAA45108OtherBLUE CROSS
CA00A451080Medicaid
CA1738531OtherGREAT WEST
CAMCMG358200OtherWESTERN HEALTH ADVANTAGE
CA101141OtherHEALTH NET
CA2243290OtherCIGNA
CA000810623088OtherPHCS
CA94762OtherINTERPLAN
CA90143263OtherPACIFICARE
CA4083257OtherAETNA