Doug Stone, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95023990 Issued in CA

Practice address

11386 Pleasant Valley Rd
Penn Valley, CA 95946-9000

Phone

(530) 451-6234

Fax

(844) 543-6123

NPI assigned

Jan 24, 2023

Last updated

Jan 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vital Health Ca Medical Group

  dba Vital Health

  • Family Medicine Physician
  • Penn Valley, CA
  • NPI 1922728898
  NPD

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1356057343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 WINDPLAY DR STE 112",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629310",
            "telephone_number": "202-309-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11386 PLEASANT VALLEY RD",
            "city": "PENN VALLEY",
            "state": "CA",
            "postal_code": "959469000",
            "telephone_number": "530-451-6234",
            "fax_number": "844-543-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "DOUG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95023990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11386 Pleasant Valley Rd",
            "city": "Penn Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959469000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Roussel, DOULA
• Keith L Sheppard, DDS
• Sierra Nevada Primary Care
• Monte John Smith, DDS
• Shaunee Jolenne Steel, LVN
• Belinda Stroud, PSY.D.
• De Ann Lee Sumner, PHARM. D.
• Sunflower Audiology Inc
• Molly E Swartz, DPT
• Thomas Paul Templeton, DC

• Family Medicine Physician in Penn Valley, CA
• Providers in Penn Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.