Edgar J Stanley MD Inc a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EDGAR J STANLEY MD INC A MEDICAL CORPORATION

Practice address

1180 N Indian Canyon Dr Ste E425
Palm Springs, CA 92262-4800

Phone

(760) 322-7900

Fax

(760) 322-7911

NPI assigned

Aug 19, 2010

Last updated

Dec 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edgar Javier Stanley, MDNPI 1184688624

Title

President

Phone

(760) 322-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edgar J Stanley, MD

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1184688624
  Medicare reassignment Care Compare group Authorized official
• Paul Duncan Boyd, FNP

  • Gerontology Nurse Practitioner
  • Palm Springs, CA
  • NPI 1699250886
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1457667123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E425",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-322-7900",
            "fax_number": "760-322-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E425",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624800",
            "telephone_number": "760-322-7900",
            "fax_number": "760-322-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR J STANLEY MD INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-322-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.