Maja Stobaugh

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

954168619 Issued in CA

Practice address

1849 Sawtelle Blvd Ste 100
Los Angeles, CA 90025-7007

Phone

(310) 478-8305

Fax

(310) 478-8639

NPI assigned

Jul 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Green Dot Public Corperation

  • Local Education Agency (LEA)
  • Venice, CA
  • NPI 1720950629
  NPD Authorized official

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1518410562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257007",
            "telephone_number": "310-478-8305",
            "fax_number": "310-478-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 SAWTELLE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257007",
            "telephone_number": "310-478-8305",
            "fax_number": "310-478-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBAUGH",
        "first_name": "MAJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "954168619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sammie Lee Stinson
• Bethlehem Stirnaman
• Thomas Patrick Stirrat, MD
• Alison Stiteler
• Pamela T. Stitt, MD
• Nathan W. Stockamp, M.D.
• Carl Stocklin, MS, AT
• Katherine Anne Stockly
• Joel Richard Stockman, M.D.
• Ty David Stockman

• Addiction (Substance Use Disorder) Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.