Active NPI
Erick Douglas Stone, MD
- General Practice Physician
- Glendora, CA
National Provider Identifier
1205884012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G48398
- Practice address
- 401 E Laurel Ave
Glendora, CA 91741-2127 - Phone
- (626) 963-4243
- Fax
- (626) 963-0051
- NPI assigned
- May 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | G48398 | CA | |
| General Practice Physician | 208D00000X | G48398 | CA | Primary |
Addresses
Primary practice location
401 E Laurel Ave
Glendora, CA 91741-2127
Mailing address
401 E Laurel Ave
Glendora, CA 91741-2127
Phone (626) 963-4243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G483980 | Medicaid | CA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161027001817 | CA | Order and Referring Only - Emergency Medicine | 6204847577 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48398 | CA | MD | Pharmacotherapy Pharmacist |
| G48398 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205884012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E LAUREL AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917412127",
"telephone_number": "626-963-4243",
"fax_number": "626-963-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 E LAUREL AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917412127",
"telephone_number": "626-963-4243",
"fax_number": "626-963-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "ERICK",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "G48398",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G48398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G483980",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.