Individual provider Active NPI

Stacy J Arnold, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
National Provider Identifier
1386086635
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
53784 Issued in AZ
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C195262MedicaidCA
R74021OtherAZARIZONA MEDICAL BOARD
459218MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190103002156 AZ Practitioner - PathologyPractitioner - Other (Physician) 2163797176 Reassigns benefits to 2 organizations
I20250317000469 CA Practitioner - Pathology 2163797176 Reassigns benefits to 1 organization

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
Affiliated Pathologists Medical Group, Inc.Group PAC ID 7315840535, 46 clinicians

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 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C195262CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Specialist of Arizona, LLP Anatomic Pathology & Clinical Pathology CurrentSince Sep 22, 2018 Accepting new patients
Soc Pathology Medical Group Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Affiliated Pathologists Medical Group, Inc. Clinical Pathology CurrentSince Dec 8, 2024 Accepting new patients
Clin-Path Pathology Anatomic Pathology & Clinical Pathology CurrentSince Sep 22, 2018 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.