Active NPI
Monica Lynnette G Stoffer, M.D.
- Pediatrics Physician
- Tracy, CA
National Provider Identifier
1255463089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A90458
- Practice address
- 4598 S Tracy Blvd Ste 110
Tracy, CA 95377-8117 - Phone
- (650) 497-8000
- NPI assigned
- Mar 9, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A90458 | CA | Primary |
Addresses
Primary practice location
4598 S Tracy Blvd Ste 110
Tracy, CA 95377-8117
Mailing address
4598 S Tracy Blvd Ste 110
Tracy, CA 95377-8117
Phone (650) 497-8000
Other names 1
- Monica Gomes
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90458 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
Locations
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
4598 S Tracy Blvd
Ste 110
Tracy, CA 95377
Phone (209) 835-8551
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1255463089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4598 S TRACY BLVD STE 110",
"city": "TRACY",
"state": "CA",
"postal_code": "953778117",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4598 S TRACY BLVD STE 110",
"city": "TRACY",
"state": "CA",
"postal_code": "953778117",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOFFER",
"first_name": "MONICA",
"middle_name": "LYNNETTE G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A90458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MONICA",
"last_name": "GOMES",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.