SCOTT DOUGLAS STALLARD (NPI# 1154839686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154839686 |
| Entity Type | Individual |
| Full Name | SCOTT DOUGLAS STALLARD |
| Practice Address |
5525 W Slauson Ave Los Angeles CA 90056-1047 |
| Practice Telephone | 3106420325 |
| Practice Fax Number | 3106420336 |
| Mailing Telephone | 3106420325 |
| Mailing Fax Number | 3106420336 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5525 W SLAUSON AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90056-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952363012 | Glenview Pathology Medical Group | Pathology | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2006-04-04 |
| 1417450461 | Natalie Meyer | Pharmacist | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2018-03-16 |
| 1972962322 | Roger Chiem | Pharmacist | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2016-02-13 |
| 1386973477 | Knd Development 59 LLC | Hospitalist | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2009-12-18 |
| 1821204058 | Thc - Orange County, LLC | General Practice | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2007-05-15 |
| 1518171826 | Matthew Christopher Sies | Preventive Medicine | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2007-05-09 |
| 1447335146 | Thc - Orange County, LLC | Long Term Care Hospital | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2006-10-25 |
| 1770531485 | Gilat Englanoff | Family Medicine | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588026 | Miriam Gutierrez | Psychologist | 5110 W. Goldleaf Circle, Los Angeles, CA 90056 | 2008-08-25 |
| 1699800136 | Burl Roddy Moore | Social Worker | 5317 Corning Ave., Los Angeles, CA 90056 | 2007-02-23 |
| 1821462722 | Daniela Covel Zanich | Social Worker | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2015-11-16 |
| 1467652727 | Melissa Lowry Tran | Marriage & Family Therapist | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2007-07-24 |
| 1033390463 | Phillip Gordon Mckinley | Emergency Medicine | 5219 Reynier Ave, Los Angeles, CA 90056-1018 | 2007-11-14 |
| 1508852518 | William Robert Reeve | Pharmacist | 5231 Senford Ave, Los Angeles, CA 90056-1024 | 2005-09-25 |
| 1417083791 | James L Meltzer | Internal Medicine | 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 | 2007-02-23 |
| 1841648409 | Kenneth Lovelace | Pharmacist | 5434 S Corning Ave, Los Angeles, CA 90056-1108 | 2016-05-24 |
| 1225117948 | Trudy Lynne Washington | Psychologist | 5405 S Sherbourne Dr, Los Angeles, CA 90056-1131 | 2006-11-03 |
| 1699152850 | Dr. Allan Boodnick | Case Management | 5301 Ladera Crest Dr, Los Angeles, CA 90056-1152 | 2015-04-27 |
| Find all providers in zip 90056 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083213961 | Profizix Physical Therapy and Wellness P.C. | Physical Therapist | 390 Hauser Blvd Apt 9l, Los Angeles, CA 90036-5577 | 2020-10-21 |
| 1679963631 | Leo Robles Jr. | Physical Therapist | 4572 Round Top Dr, Los Angeles, CA 90065-4930 | 2015-01-29 |
| 1225426406 | Gordon Kirkup | Physical Therapist | 838 N Mariposa Ave Apt 3, Los Angeles, CA 90029-3441 | 2014-12-22 |
| 1457562803 | Alan Chong W. Lee | Physical Therapist | 10 Chester Pl, Los Angeles, CA 90007-2518 | 2007-05-25 |
| 1750593224 | Pearl Dietz | Physical Therapist | 5120 W Goldleaf Cir, Suite 400, Los Angeles, CA 90056-1292 | 2007-05-04 |
| 1740212356 | Ailene Bundalian Rivera | Physical Therapist | 1711 W Temple St # 2056, Los Angeles, CA 90026-5421 | 2006-07-06 |
| 1710923578 | Dorit Makowski | Physical Therapist | 1549 W Olympic Blvd, Los Angeles, CA 90015-3806 | 2006-06-21 |
| 1427546266 | Sylvia Vedamani | Physical Therapist | 580 S San Vicente Blvd, Los Angeles, CA 90048-4621 | 2018-04-26 |
| 1386132116 | Jessica Esser | Physical Therapist | 580 S San Vicente Blvd, Los Angeles, CA 90048-4621 | 2018-04-26 |
| 1245586601 | M & K Physical Therapy Rehab Institute PC | Physical Therapist | 2120 W 8th St, Suite 200, Los Angeles, CA 90057-4019 | 2012-08-03 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90056 |
Please comment or provide details below to improve the information on SCOTT DOUGLAS STALLARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.