Active NPI
Robert D Stone, MD
- Ophthalmology Physician
- Chico, CA
National Provider Identifier
1306959499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A22457
- Practice address
- 676 E 1St Ave
Suite 14
Chico, CA 95926-3547 - Phone
- (530) 895-3884
- Fax
- (530) 343-3030
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A22457 | CA | Primary |
Addresses
Primary practice location
676 E 1St Ave
Suite 14
Chico, CA 95926-3547
Mailing address
676 E 1St Ave
Suite 14
Chico, CA 95926-3547
Phone (530) 895-3884
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A224571 | Medicaid | CA | |
| 180021131 | Other | AR | RAILROAD RETIREMENT |
| 0475230001 | Other | CA | DMERC SUPPLIER |
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 |
|---|---|---|---|---|
| I20080520000333 | CA | Practitioner - Ophthalmology | 8325140825 | Practice locations: Chico, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A22457 | CA | MD | Ophthalmology Physician |
Interoperability endpoints
- dstone15463@enloedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1306959499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 E 1ST AVE",
"address_2": "SUITE 14",
"city": "CHICO",
"state": "CA",
"postal_code": "959263547",
"telephone_number": "530-895-3884",
"fax_number": "530-343-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "676 E 1ST AVE",
"address_2": "SUITE 14",
"city": "CHICO",
"state": "CA",
"postal_code": "959263547",
"telephone_number": "530-895-3884",
"fax_number": "530-343-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "ROBERT",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A22457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A224571",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD RETIREMENT",
"identifier": "180021131",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC SUPPLIER",
"identifier": "0475230001",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.