Individual provider Active NPI

Bethany Stafford, M.D.

  • Pediatrics Physician
  • Calabasas, CA
National Provider Identifier
1376830224
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A112150 Issued in CA
Practice address
5000 Parkway Calabasas Ste 203
Calabasas, CA 91302-3924
Phone
(818) 651-9210
Fax
(818) 584-7934
NPI assigned
Jun 29, 2011
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A112150 CA Primary

Addresses

Primary practice location

5000 Parkway Calabasas Ste 203
Calabasas, CA 91302-3924

Mailing address

5000 Parkway Calabasas Ste 203
Calabasas, CA 91302-3924
Phone (818) 651-9210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112150CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Pediatric Medical Group Inc Pediatrics CurrentSince Oct 20, 2024 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. Pediatrics Past Accepting new patients
Agoura-West Valley Pediatric Medical Group Pediatrics Past Accepting new patients

Locations

5000 Parkway Calabasas
Ste 203
Calabasas, CA 91302
Phone (818) 651-9210

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1376830224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 PARKWAY CALABASAS STE 203",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023924",
            "telephone_number": "818-651-9210",
            "fax_number": "818-584-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 PARKWAY CALABASAS STE 203",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913023924",
            "telephone_number": "818-651-9210",
            "fax_number": "818-584-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BETHANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A112150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.