Individual provider Active NPI

Amy Marie Stoddard, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Monica, CA
National Provider Identifier
1407008907
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A104095 Issued in CA
Practice address
1245 16TH St
202
Santa Monica, CA 90404-1235
Phone
(310) 301-8707
NPI assigned
Oct 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A104095 CA Primary

Addresses

Primary practice location

1245 16TH St
202
Santa Monica, CA 90404-1235

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 794-7274

Other identifiers 1

IdentifierTypeStateIssuer
0A1040950MedicaidCA

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
I20120808000301 CA Practitioner - Obstetrics/Gynecology 3870626930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Regents of the University of CaliforniaGroup PAC ID 0143124289, 53 clinicians

Practice addresses (Care Compare)

1010 Veteran Ave
Los Angeles, CA 90024-2704
Phone (310) 825-7955

200 Medical PLZ
Suite 430
Los Angeles, CA 90095-6957
Phone (310) 794-7274

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
76.27
Promoting interoperability
100
Improvement activities
40
Cost
68.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104095CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Obstetrics & Gynecology CurrentSince Aug 1, 2012 Accepting new patients
Tampa General Medical Group Inc Past Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

File 54456
Los Angeles, CA 90074

1010 Veteran Ave
Los Angeles, CA 90024
Phone (310) 825-7955

200 Medical Plz
Ste 430
Los Angeles, CA 90095
Phone (310) 794-8282

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

2001 Santa Monica Blvd
Ste 380
Santa Monica, CA 90404
Phone (310) 899-7500

1245 16th St
Ste 202
Santa Monica, CA 90404
Phone (310) 453-1982

Interoperability endpoints

  • Direct secure messaging: astoddard48542@direct.uclahealth.org
  • Direct secure messaging: amy.stoddardmd.p1@direct.plannedparenthoodla.nextgenshare.com

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 2

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": "1224028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1407008907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-794-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 16TH ST",
            "address_2": "202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041235",
            "telephone_number": "310-301-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-15",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A104095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1040950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.