Organization Active NPI

Stanley L. Stock, M. D., Inc.

  • Primary Care Clinic/Center
  • San Pedro, CA
National Provider Identifier
1457677874
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A19519 Issued in CA
Legal business name
STANLEY L. STOCK, M. D., INC.
Practice address
1428 W 7TH St Ste B
San Pedro, CA 90732-3523
Phone
(310) 833-5221
Fax
(310) 833-4022
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Dr. Stanley Louis Stock, M. D.
Title
President
Phone
(310) 833-5221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A19519 CA Primary

Addresses

Primary practice location

1428 W 7TH St Ste B
San Pedro, CA 90732-3523

Mailing address

1428 W 7TH St Ste B
San Pedro, CA 90732-3523
Phone (310) 833-5221

Other identifiers 2

IdentifierTypeStateIssuer
A19510OtherCLIA 05D0553631
1700896909OtherSOLE OWNER NPI

Other names 1

  • Stanley L. Stock, M. D. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1457677874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 W 7TH ST STE B",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323523",
            "telephone_number": "310-833-5221",
            "fax_number": "310-833-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 W 7TH ST STE B",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323523",
            "telephone_number": "310-833-5221",
            "fax_number": "310-833-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY L. STOCK, M. D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-833-5221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A19519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA 05D0553631",
            "identifier": "A19510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE OWNER NPI",
            "identifier": "1700896909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanley L. Stock, M. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.