Individual provider Active NPI

Tonja Lynette Harris-Stansil, M.D.

  • Obstetrics & Gynecology Physician
  • Manteca, CA
National Provider Identifier
1578653028
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A88521 Issued in CA
Practice address
1234 E North St
Ste. 102
Manteca, CA 95336-4960
Phone
(209) 824-2202
Fax
(209) 824-2205
NPI assigned
Oct 13, 2006
Last updated
Dec 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A88521 CA
Obstetrics & Gynecology Physician 207V00000X A88521 CA Primary

Addresses

Primary practice location

1234 E North St
Ste. 102
Manteca, CA 95336-4960

Mailing address

P.O. Box 1090
Lodi, CA 95241-1090
Phone (209) 334-1800

Other identifiers 1

IdentifierTypeStateIssuer
1386636165OtherCAGROUP NPI

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
I20101111000434 CA Practitioner - Obstetrics/Gynecology 5698960011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Joaquin Faculty Medical GroupGroup PAC ID 4082631395, 126 clinicians

Practice addresses (Care Compare)

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6600

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
71.65
Improvement activities
40
Cost
57.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88521CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Faculty Medical Group CurrentSince Mar 9, 2015 Accepting new patients
County of San Joaquin CurrentSince Mar 9, 2015 Accepting new patients
County of San Joaquin CurrentSince Mar 9, 2015 Accepting new patients
P. Gill Obsteterics & Gynecology Medical Group, Inc Past Accepting new patients
Delta Sierra Medical Group, Inc PastSince Dec 7, 2025 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tharrisstansil768242@direct.ochin.org
  • Direct secure messaging: tonja.harrisstansil.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1578653028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1090",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952411090",
            "telephone_number": "209-334-1800",
            "fax_number": "209-334-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 E NORTH ST",
            "address_2": "STE. 102",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953364960",
            "telephone_number": "209-824-2202",
            "fax_number": "209-824-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-STANSIL",
        "first_name": "TONJA",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A88521",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A88521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1386636165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.