Individual provider Active NPI

Peter Stocks, M.S., MFT

  • Marriage & Family Therapist
  • Menifee, CA
National Provider Identifier
1275762908
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
53208 Issued in CA
Practice address
27851 Bradley Rd Ste 108
Menifee, CA 92586-2213
Phone
(951) 419-5138
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 53208 CA Primary

Addresses

Primary practice location

27851 Bradley Rd Ste 108
Menifee, CA 92586-2213

Mailing address

PO Box 557
Wildomar, CA 92595-0557
Phone (951) 212-5423

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307001684 CA Practitioner - Marriage and Family Therapist 0840711735 Practice locations: Wildomar, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27851 Bradley Rd
Suite 108
Wildomar, CA 92595-0557
Phone (951) 419-5138

PO Box
Suite 557
Wildomar, CA 92595-0557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
53208CAMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1275762908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925950557",
            "telephone_number": "951-212-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27851 BRADLEY RD STE 108",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925862213",
            "telephone_number": "951-419-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKS",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "M.S., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "53208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menifee, CA

Sources for this page

Verify at the official NPI Registry.