Active NPI
Lance Robert Stone, D.O.
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 20A5394
- Practice address
- 6645 Alvarado Rd
San Diego, CA 92120-5208 - Phone
- (619) 326-0128
- NPI assigned
- Sep 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 20A5394 | CA | Primary |
Addresses
Primary practice location
6645 Alvarado Rd
San Diego, CA 92120-5208
Mailing address
6645 Alvarado Rd
Suite 253
San Diego, CA 92120-5208
Phone (619) 326-0128
Other practice location 1
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 525-5218
Other names 1
- Dr. Lance Robert Stone
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lstone1658362@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5394 | CA | MD | Acupuncturist |
| 20A5394 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Gerard C. Arcilla MD, Inc. | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700
664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700
6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600
6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
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 and National Provider Directory roles.
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- Surgery Physician
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- NPI 1740332931
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- Federally Qualified Health Center (FQHC)
- Hayward, CA
- NPI 1023219821
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Physical Medicine & Rehabilitation Physician
- National City, CA
- NPI 1285971028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1073618484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6645 ALVARADO RD",
"address_2": "SUITE 253",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205208",
"telephone_number": "619-326-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6645 ALVARADO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205208",
"telephone_number": "619-326-0128"
}
],
"practiceLocations": [
{
"address_1": "1165 Montgomery Dr",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954054801",
"country_code": "US",
"telephone_number": "707-525-5218",
"fax_number": "707-522-1257",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STONE",
"first_name": "LANCE",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "20A5394",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lstone1658362@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1165 Montgomery Dr",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954054801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LANCE",
"last_name": "STONE",
"middle_name": "ROBERT",
"prefix": "DR.",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.