Stacey Naito D.O. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STACEY NAITO D.O. INC

Practice address

9043 Woodman Ave Ste C
Arleta, CA 91331-6493

Phone

(818) 221-3096

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Stacey Kikumi Naito, DONPI 1902106560

Title

Director

Phone

(818) 221-3096

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Kikumi Naito, D.O.

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1902106560
  NPD Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1619599339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9043 WOODMAN AVE STE C",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316493",
            "telephone_number": "818-221-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9043 WOODMAN AVE STE C",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913316493",
            "telephone_number": "818-221-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY NAITO D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "NAITO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "KIKUMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-221-3096",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PRACTICEFUSION.COM",
            "affiliation": "N",
            "address_1": "9043 Woodman Ave Ste C",
            "city": "Arleta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913316493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Karmen Sergei Tatulian, M.D.
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• Tonopah Care Home LLC

• Family Medicine Physician in Arleta, CA
• Providers in Arleta, 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 May 15, 2020; 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.