Active NPI
R Jonathan Stanger, MD
- Emergency Medicine Physician
- Martinez, CA
National Provider Identifier
1124118278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G40168
- Practice address
- 2500 Alhambra Avenue
Contra Costa Regional Medical Center and Health Centers
Martinez, CA 94553 - Phone
- (925) 370-5110
- Fax
- (925) 370-5142
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G40168 | CA | Primary |
Addresses
Primary practice location
2500 Alhambra Avenue
Contra Costa Regional Medical Center and Health Centers
Martinez, CA 94553
Mailing address
50 Douglas Drive Suite 391
Health Services Administration
Martinez, CA 94553
Phone (925) 957-5429
Other names 1
- Roland J Stanger
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G40168 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124118278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 DOUGLAS DRIVE SUITE 391",
"address_2": "HEALTH SERVICES ADMINISTRATION",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-957-5429",
"fax_number": "925-957-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ALHAMBRA AVENUE",
"address_2": "CONTRA COSTA REGIONAL MEDICAL CENTER AND HEALTH CENTERS",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-370-5110",
"fax_number": "925-370-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGER",
"first_name": "R",
"middle_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G40168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROLAND",
"last_name": "STANGER",
"middle_name": "J",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Martinez, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.