William F Stubbeman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G079364 Issued in CA

Practice address

11500 W. Olympic Blvd.
Suite 441
Los Angeles, CA 90064

Phone

(424) 248-3134

Fax

(310) 464-8918

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 25, 2014 through Mar 25, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• William F Stubbeman MD Brain Stimulation Institute Inc

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1780254474
  NPD Authorized official
• William F Stubbeman MD a Professional Corporation

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1578920104
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1154457372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 W. OLYMPIC BLVD.",
            "address_2": "SUITE 441",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "424-248-3134",
            "fax_number": "310-464-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W. OLYMPIC BLVD.",
            "address_2": "SUITE 441",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90064",
            "telephone_number": "424-248-3134",
            "fax_number": "310-464-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBEMAN",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G079364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE #",
            "identifier": "G079364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaymes Stuart
• Kathleen M. Stuart, MFTI
• Scott Nathaniel Stuart
• Sophie Isabelle Stuart, MD
• Trisha Stuart, MSW
• Esther Marie Stubblefield, RN
• Margaret Lois Stuber
• Robin Stuchinsky, LCSW
• Jennifer Clare Stuckert-Knapp, LMFT
• Chadd Stuckey

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.