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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036080278 | 05 | |
IL | GROUP MEDICARE # | 212529 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
208 E 3rd St, Centralia, IL 628013902 | 6185327891 | 6185327923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932229960 | Edward Stanford | Psychiatry & Neurology | 9900 Sw Wilshire St, Suite 260, Portland, OR 97225-5035 | 2007-03-31 |
Street Address |
1262 E NORTH ST |
City | MANTECA |
State | CA |
Zip Code | 95336 |
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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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 |
Find all providers in zip 95336 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669689741 | Daemen Medical Group | Obstetrics & Gynecology | 295 Mcnary Circle, Manteca, CA 95336 | 2007-05-17 |
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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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.