Organization Active NPI

Terry E Stanger MD Inc

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1023397411
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A34136 Issued in CA
Legal business name
TERRY E STANGER MD INC
Practice address
18411 Clark St Ste 202
Tarzana, CA 91356-3533
Phone
(818) 881-3435
Fax
(818) 881-9021
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Tyler Klein
Title
Billing
Phone
(805) 239-9055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A34136 CA Primary

Addresses

Primary practice location

18411 Clark St Ste 202
Tarzana, CA 91356-3533

Mailing address

18411 Clark St Ste 202
Tarzana, CA 91356-3533
Phone (818) 881-3435

Other identifiers 1

IdentifierTypeStateIssuer
00A341360MedicaidCA

National Provider Directory

National Provider Directory

Locations

18411 Clark St
Ste 202
Tarzana, CA 91356
Phone (818) 457-4703

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1023397411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563533",
            "telephone_number": "818-881-3435",
            "fax_number": "818-881-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563533",
            "telephone_number": "818-881-3435",
            "fax_number": "818-881-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY E STANGER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "805-239-9055"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A34136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.