Individual provider Active NPI

John M Stoneburner Jr., M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Torrance, CA
National Provider Identifier
1366526550
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G54697 Issued in CA
Practice address
23451 Madison St
Suite 300
Torrance, CA 90505-4763
Phone
(310) 378-7373
Fax
(310) 378-1098
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G54697 CA Primary

Addresses

Primary practice location

23451 Madison St
Suite 300
Torrance, CA 90505-4763

Mailing address

23451 Madison St
Suite 300
Torrance, CA 90505-4763
Phone (310) 378-7373

Other identifiers 1

IdentifierTypeStateIssuer
00G546970MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122001207 CA Practitioner - Thoracic SurgeryPractitioner - OtolaryngologyPractitioner - Vascular Surgery 7517869290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Vascular Surgery
Education
Virginia Commonwealth University, School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Memorial Medical CenterGroup PAC ID 9638087703, 52 clinicians

Practice addresses (Care Compare)

3330 Lomita Blvd
Torrance, CA 90505-5002
Phone (310) 517-4785

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Memorial Medical Center CurrentSince Feb 1, 2010 Accepting new patients
Torrance Memorial Medical Center CurrentSince Feb 1, 2010 Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

23451 Madison St
Ste 300
Torrance, CA 90505
Phone (310) 375-9994

2841 Lomita Blvd
Ste 310
Torrance, CA 90505
Phone (310) 325-9111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1366526550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "SUITE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-378-7373",
            "fax_number": "310-378-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23451 MADISON ST",
            "address_2": "SUITE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054763",
            "telephone_number": "310-378-7373",
            "fax_number": "310-378-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONEBURNER",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G54697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G546970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.