Active NPI
Benjamin Thomas Stafford, M.D.
- Hematology & Oncology Physician
- Arcadia, CA
National Provider Identifier
1063502318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G19825
- Practice address
- 612 W Duarte Rd
Suite 304
Arcadia, CA 91007-7602 - Phone
- (626) 446-4461
- Fax
- (626) 445-0647
- NPI assigned
- Oct 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G19825 | CA | Primary |
Addresses
Primary practice location
612 W Duarte Rd
Suite 304
Arcadia, CA 91007-7602
Mailing address
612 W Duarte Rd
Suite 304
Arcadia, CA 91007-7602
Phone (626) 446-4461
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| YYY48961Y | Other | CA | BLUE SHIELD OF CALIF GR N |
| G19825 | Other | CA | STATE MEDICAL LICENSE NUM |
| YYY48961Y | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shapiro Stafford Yee & Polonsky PC | Hematology & Oncology | Current | Accepting new patients |
| Usc Arcadia Hospital | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients |
Locations
622 W Duarte Rd
Ste 202
Arcadia, CA 91007
Phone (626) 446-4461
Interoperability endpoints
- benjamin.stafford.p3@direct.scoa.nextgenshare.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Arcadia, CA
- NPI 1407931389
-
- Hematology & Oncology Physician
- Arcadia, CA
- NPI 1083002208
-
dba Citrus Valley Medical Center Inter-Community Campus
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
- Rehabilitation Hospital Unit
- Arcadia, CA
- NPI 1164410593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063502318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 W DUARTE RD",
"address_2": "SUITE 304",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077602",
"telephone_number": "626-446-4461",
"fax_number": "626-445-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 W DUARTE RD",
"address_2": "SUITE 304",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077602",
"telephone_number": "626-446-4461",
"fax_number": "626-445-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAFFORD",
"first_name": "BENJAMIN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G19825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIF GR N",
"identifier": "YYY48961Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE NUM",
"identifier": "G19825",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "YYY48961Y",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.