Active NPI
Stuart L Feldman, M.D.
- Urology Physician
- Fullerton, CA
National Provider Identifier
1508089707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G41816
- Practice address
- 1950 Sunnycrest Dr
#3400
Fullerton, CA 92835-3638 - Phone
- (714) 879-2410
- Fax
- (714) 879-5340
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | G41816 | CA | Primary |
Addresses
Primary practice location
1950 Sunnycrest Dr
#3400
Fullerton, CA 92835-3638
Mailing address
1950 Sunnycrest Dr
#3400
Fullerton, CA 92835-3638
Phone (714) 879-2410
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851498133 | Other | CA | GROUP NPI |
| 05D0684380 | Other | CA | CLIA |
| G41816 | Medicaid | CA | |
| G59971 | Other | CA | LISCENCE |
| 05D0552498 | Other | CA | CLIA |
| YYY49655Y | Other | CA | BLUE SHIELD |
| 05D0977537 | Other | CA | CLIA |
| GROO11581 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41816 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1508089707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 SUNNYCREST DR",
"address_2": "#3400",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353638",
"telephone_number": "714-879-2410",
"fax_number": "714-879-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 SUNNYCREST DR",
"address_2": "#3400",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353638",
"telephone_number": "714-879-2410",
"fax_number": "714-879-5340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "STUART",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G41816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1851498133",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D0684380",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G41816",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENCE",
"identifier": "G59971",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D0552498",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "YYY49655Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "05D0977537",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GROO11581",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.