EDWARD JOSEPH STANFORD


Address: 1262 E North St, Manteca, CA 95336
Phone: 2098237646

EDWARD JOSEPH STANFORD (NPI# 1326094715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326094715
Entity Type Individual
Full Name EDWARD JOSEPH STANFORD
Credential MD
Practice Address 1262 E North St
Manteca
CA 95336
Mailing Address 1262 E North St
Manteca
CA 95336-4962
Practice Telephone 2098237646
Practice Fax Number 2098245374
Mailing Telephone 2098237646
Mailing Fax Number 2098245374
Enumeration Date 2006-05-26
Last Update Date 2019-03-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
59064 CA Allopathic & Osteopathic Physicians
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
036080278 IL Allopathic & Osteopathic Physicians
N 208600000X Surgery 036080278 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036080278 05
IL GROUP MEDICARE # 212529 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
208 E 3rd St, Centralia, IL 628013902 6185327891 6185327923

Other Providers EDWARD STANFORD

NPI Name Taxonomy Address Enumeration
1932229960 Edward Stanford Psychiatry & Neurology 9900 Sw Wilshire St, Suite 260, Portland, OR 97225-5035 2007-03-31

Office Location

Street Address 1262 E NORTH ST
City MANTECA
State CA
Zip Code 95336

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447258272 Bliss Watson Clark II Orthopaedic Surgery 1262 E North St, Manteca, CA 95336-4962 2005-07-14
1891250197 Paola Velosa Nurse Practitioner 1262 E North St, Manteca, CA 95336 2019-01-31
1821355777 First Choice Physician Partners Ophthalmology 1262 E North St, Ste B, Manteca, CA 95336-4962 2012-04-17
1134499411 Greater Modesto Medical Surgical Associates, Inc. Orthopaedic Surgery 1262 E North St, Suite B, Manteca, CA 95336-4962 2012-01-04
1447543160 Gail R Joseph Obstetrics & Gynecology 1262 E North St, Manteca, CA 95336-4962 2011-05-27
1386943546 Janna Bernice Brocchini Registered Nurse 1262 E North St, Manteca, CA 95336-4962 2011-03-26
1386821452 Linda L Pickhartz Nurse Practitioner 1262 E North St, Manteca, CA 95336-4962 2008-01-30
1952586067 M. Jacqueline Galang Inc. Internal Medicine 1262 E North St, Manteca, CA 95336 2008-01-08
1992819957 Prayuk A. Waran Obstetrics & Gynecology 1262 E North St, Manteca, CA 95336 2006-08-18
1437113065 Manteca Medical Group, Inc Obstetrics & Gynecology 1262 E North St, Manteca, CA 95336-4962 2006-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225687676 Kasside Sahagun-escalante Behavior Technician 402 Victory Ave, Manteca, CA 95336 2019-09-09
1295253797 Adriana Pena Counselor 129 E.center Street Ste.3, Manteca, CA 95336 2017-09-05
1104352277 Native Directions Inc. Substance Abuse Rehabilitation Facility 13505 Union Rd, Manteca, CA 95336 2017-05-10
1437508389 Anna Gavin Contractor 1256 W. Lathrop Rd #376, Manteca, CA 95336 2016-06-10
1164826137 Michael M. Catz, M.d., Inc Anesthesiology 1205 E. North Street, Manteca, CA 95336 2014-10-20
1033518923 Leanne Louis Community Health Worker 129 E Center Street, #3, Manteca, CA 95336 2014-08-18
1255684122 Kenneth S. Ching, Md., Inc Anesthesiology 1205 East North Street, Manteca, CA 95336 2012-10-17
1629323043 Harpradeep Ratia Dentist 1332 E Yosemite Ave, Manteca, CA 95336 2012-07-23
1750643664 Shelley Marie Kohl Specialist/Technologist, Other 425 E. Center St Suite 1, Manteca, CA 95336 2012-06-15
1932488038 Valerie Diane Segura Behavioral Analyst 1882 Cherrywood Pl, Manteca, CA 95336 2011-08-08
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669689741 Daemen Medical Group Obstetrics & Gynecology 295 Mcnary Circle, Manteca, CA 95336 2007-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013526862 My Optimal Life Obstetrics & Gynecology 72301 Country Club Dr Ste 105, Rancho Mirage, CA 92270-8007 2020-07-28
1740833078 Lillian Shumate Md Obstetrics & Gynecology 1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 2019-07-16
1568927754 J Kingsley Fife Obstetrics & Gynecology 1165 Las Pulgas Pl, Pacific Palisades, CA 90272-2440 2019-02-01
1518457704 Leon Baginski Md Inc Obstetrics & Gynecology 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 2018-05-14
1396253340 Yasharpour Medical Doctor, Inc A Professional Medical Corporation Obstetrics & Gynecology 21013 Sherman Way Ste 4, Canoga Park, CA 91303-3675 2018-01-11
1851828222 Desert Valley Obgyn Inc Obstetrics & Gynecology 39000 Bob Hope Dr Ste 303, Rancho Mirage, CA 92270-3221 2017-05-17
1295274660 Koe Medical Consulting, Inc. Obstetrics & Gynecology 5680 Trinidad Way, San Diego, CA 92114-5310 2017-02-18
1518404441 Women's Health Care Research Corporation Obstetrics & Gynecology 3750 Convoy St Ste 311, San Diego, CA 92111-3741 2017-01-30
1730626722 Aela Paiz Do Inc Obstetrics & Gynecology 9620 Clybourn Ave, Sun Valley, CA 91352-1623 2017-01-27
1538521125 Randal Sloop Md Inc Obstetrics & Gynecology 2068 Talbert Dr Ste 150, Chico, CA 95928-7723 2016-03-23
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Competitor

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City MANTECA
Zip Code 95336

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Dataset Information

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.

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