Individual provider Active NPI

Stacey M Woo, DDS, PHD

  • Endodontics
  • Torrance, CA
National Provider Identifier
1073699963
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
54599 Issued in CA
Practice address
3440 Torrance Blvd Ste 102
Torrance, CA 90503-5805
Phone
(310) 540-1000
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 54599 CA Primary

Addresses

Primary practice location

3440 Torrance Blvd Ste 102
Torrance, CA 90503-5805

Mailing address

17853 Santiago Blvd # 107-133
Villa Park, CA 92861-4113
Phone (530) 428-5443

Other practice location 1

3465 Torrance Blvd Ste G
Torrance, CA 90503-5804
Phone (310) 543-7788

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150904001974 CA Order and Referring Only - DentistPractitioner - Dentist 9335455385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
54599CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kwor Chieh Loo DDS Apc Endodontics Past Accepting new patients
Narita Dental Corp. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1073699963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17853 SANTIAGO BLVD # 107-133",
            "city": "VILLA PARK",
            "state": "CA",
            "postal_code": "928614113",
            "telephone_number": "530-428-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 TORRANCE BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035805",
            "telephone_number": "310-540-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3465 Torrance Blvd Ste G",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905035804",
            "country_code": "US",
            "telephone_number": "310-543-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOO",
        "first_name": "STACEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "54599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.