Individual provider Active NPI

Michael Jaroslav Stastny, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hacienda Heights, CA
National Provider Identifier
1093058216
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5216 Issued in CA
Practice address
3180 Colima Rd Ste a
Hacienda Heights, CA 91745-6315
Phone
(626) 961-1882
Fax
(626) 968-7599
NPI assigned
Apr 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5216 CA Primary

Addresses

Primary practice location

3180 Colima Rd Ste a
Hacienda Heights, CA 91745-6315

Mailing address

576 Archwood Ave
Brea, CA 92821-2707
Phone (714) 334-5795

Other practice location 1

1330 W Covina Blvd Ste 102
San Dimas, CA 91773-3200
Phone (909) 592-3323

Other practice location 2

24953 Paseo De Valencia Ste 15C
Laguna Hills, CA 92653-4344
Phone (949) 305-8333

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
I20170907002481 CA Practitioner - Podiatry 0042583395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hassan a. Kobaissi DPMGroup PAC ID 2264743657, 4 clinicians
Eric Naasz DPM IncGroup PAC ID 8224379102, 2 clinicians

Practice addresses (Care Compare)

24953 Paseo de Valencia
Suite 15C
Laguna Hills, CA 92653-4344
Phone (714) 334-5795

3180 Colima Rd
Suite a
Hacienda Heights, CA 91745-6315
Phone (626) 961-1882

576 Archwood Ave
Brea, CA 92821-2707
Phone (714) 334-5795

704 N Harbor Blvd
Fullerton, CA 92832-1520
Phone (714) 525-0225

Hospital & facility affiliations

  • Whittier Hospital Medical Center Hospital, Whittier, CA, CCN 050735

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue986
Removal or shaving of skin growth662
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5216CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hassan a Kobaissi DPM Foot & Ankle Surgery CurrentSince Jul 24, 2017 Accepting new patients
Michael Jaroslav Stastny, DPM, a Professional Corporation Foot & Ankle Surgery CurrentSince Jul 21, 2017 Accepting new patients
Eric Naasz DPM Inc Foot & Ankle Surgery CurrentSince Jan 23, 2019 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Brian I. Watanabe, M.D., Inc. Past Accepting new patients

Locations

704 N Harbor Blvd
Fullerton, CA 92832
Phone (714) 525-0225

3180 Colima Rd
Ste A
Hacienda Hts, CA 91745
Phone (626) 961-1644

24953 Paseo de Valencia
Ste 15C
Laguna Hills, CA 92653
Phone (949) 305-8333

9474 Base Line Rd
Rch Cucamonga, CA 91701
Phone (909) 987-0317

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michael.stastny.1@32527.direct.athenahealth.com
  • Direct secure messaging: michael.stastnydpm.p2@direct.caremorewest.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1093058216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 ARCHWOOD AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212707",
            "telephone_number": "714-334-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 COLIMA RD STE A",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456315",
            "telephone_number": "626-961-1882",
            "fax_number": "626-968-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 W Covina Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917733200",
            "country_code": "US",
            "telephone_number": "909-592-3323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24953 Paseo De Valencia Ste 15C",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926534344",
            "country_code": "US",
            "telephone_number": "949-305-8333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STASTNY",
        "first_name": "MICHAEL",
        "middle_name": "JAROSLAV",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-05",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.