Organization Active NPI

Michael a Stone MD a Professional Corporation

  • Orthopaedic Surgery Physician
  • Marina del Rey, CA
National Provider Identifier
1194617050
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MICHAEL A STONE MD A PROFESSIONAL CORPORATION
Practice address
4553 Glencoe Ave Ste 140
Marina del Rey, CA 90292-7906
Phone
(424) 786-1379
Fax
(310) 943-6584
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Michael Allan StoneNPI 1336550656
Title
Owner
Phone
(424) 786-1379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4553 Glencoe Ave Ste 140
Marina del Rey, CA 90292-7906

Mailing address

4553 Glencoe Ave Ste 140
Marina del Rey, CA 90292-7906
Phone (424) 786-1379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251125000492 CA Part B Supplier - Clinic/Group Practice 2163914391 Receives reassigned benefits from 1 practitioner
Practice locations: Marina del Rey, CA

National Provider Directory

National Provider Directory

Locations

4553 Glencoe Ave
Ste 140
Marina del Rey, CA 90292
Phone (424) 786-1379

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1194617050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 GLENCOE AVE STE 140",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927906",
            "telephone_number": "424-786-1379",
            "fax_number": "310-943-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 GLENCOE AVE STE 140",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902927906",
            "telephone_number": "424-786-1379",
            "fax_number": "310-943-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A STONE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-786-1379"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.