Active NPI
Stacy J Arnold, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Dominguez, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 53784
- Practice address
- 20001 S Rancho Way
Rancho Dominguez, CA 90220-6318 - Phone
- (310) 225-3221
- Fax
- (310) 698-7040
- NPI assigned
- Jul 26, 2013
- Last updated
- Mar 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C195262 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 53784 | AZ | Primary |
Addresses
Primary practice location
20001 S Rancho Way
Rancho Dominguez, CA 90220-6318
Mailing address
20001 S Rancho Way
Rancho Dominguez, CA 90220-6318
Phone (310) 225-3221
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C195262 | Medicaid | CA | |
| R74021 | Other | AZ | ARIZONA MEDICAL BOARD |
| 459218 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Arizona College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.75 of 100
- Quality
- 75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C195262 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Specialist of Arizona, LLP | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Soc Pathology Medical Group Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Affiliated Pathologists Medical Group, Inc. | Clinical Pathology | Current | Accepting new patients |
| Clin-Path Pathology | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Locations
1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000
2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
1255 W Washington St
Tempe, AZ 85288
Phone 602685521145166
1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000
20001 S Rancho Way
Rancho Dominguez, CA 90220
Phone (310) 225-3221
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821
1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350
Interoperability endpoints
- sarnold860465@direct.memorialcare.org
Organizations & group practices 5
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Dominguez, CA
- NPI 1730119553
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1922079706
-
dba Pathology Specialist of Arizona
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1174503999
-
- Anatomic Pathology & Clinical Pathology Physician
- Rancho Dominguez, CA
- NPI 1598081424
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741219200000",
"number": "1386086635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20001 S RANCHO WAY",
"city": "RANCHO DOMINGUEZ",
"state": "CA",
"postal_code": "902206318",
"telephone_number": "310-225-3221",
"fax_number": "310-698-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20001 S RANCHO WAY",
"city": "RANCHO DOMINGUEZ",
"state": "CA",
"postal_code": "902206318",
"telephone_number": "310-225-3221",
"fax_number": "310-698-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "STACY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-26",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "C195262",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AZ",
"license": "53784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "C195262",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA MEDICAL BOARD",
"identifier": "R74021",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "459218",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Dominguez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.