Frederick L.Stafford M.D., Inc.

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

G57932 Issued in CA

Legal business name

FREDERICK L.STAFFORD M.D., INC.

Practice address

25431 Cabot Rd Ste 107
Laguna Hills, CA 92653-5526

Phone

(562) 427-1322

Fax

(562) 427-2255

NPI assigned

Oct 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gabrielle Elizabeth Salud

Title

Admin

Phone

(562) 427-1322

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick Lamarr Stafford, MD

  • Surgery Physician
  • Laguna Hills, CA
  • NPI 1013975028
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1003003187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535526",
            "telephone_number": "562-427-1322",
            "fax_number": "562-427-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535526",
            "telephone_number": "562-427-1322",
            "fax_number": "562-427-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK L.STAFFORD M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "SALUD",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "562-427-1322"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "G57932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G579320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leilani Tehani Keahi Lodevic Fraley, RN
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• Frederick L.Stafford M.D., Inc.
• Jane Leigh Frederick, M.D.
• Free Your Mind Marriage & Family Therapy, Professional Inc
• Micaela Jane Freel
• Brittney Yvonne Frias

• Personal Emergency Response Attendant in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Personal Emergency Response Attendant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.