Active NPI
Erin Stockman
- Physician Assistant
- Redlands, CA
National Provider Identifier
1104218486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 52060
- Practice address
- 1969 Orange Tree LN Ste B
Redlands, CA 92374-0114 - Phone
- (909) 882-3013
- NPI assigned
- Feb 24, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52060 | CA | Primary |
Addresses
Primary practice location
1969 Orange Tree LN Ste B
Redlands, CA 92374-0114
Mailing address
PO Box 10069
San Bernardino, CA 92423-0069
Phone (909) 335-4188
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Alan E. Gorenberg MD, Inc. | Current | Accepting new patients |
Locations
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
1969 Orange Tree Ln
#B
Redlands, CA 92374
Phone (909) 882-3013
2 W Fern Ave
#1112
Redlands, CA 92373
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Allergy Physician
- Orange, CA
- NPI 1770514945
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1104218486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10069",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924230069",
"telephone_number": "909-335-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1969 ORANGE TREE LN STE B",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923740114",
"telephone_number": "909-882-3013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKMAN",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-24",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.