Organization Active NPI

Michael Stone MD Inc

  • Addiction Medicine (Family Medicine) Physician
  • Santa Ana, CA
National Provider Identifier
1639717473
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
MICHAEL STONE MD INC
Practice address
1950 E 17TH St Ste 101
Santa Ana, CA 92705-6852
Phone
(714) 547-4300
Fax
(714) 541-3320
NPI assigned
Dec 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Samantha Jane Stone
Title
President
Phone
(714) 547-5375

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

1950 E 17TH St Ste 101
Santa Ana, CA 92705-6852

Mailing address

1950 E 17TH St Ste 101
Santa Ana, CA 92705-6852
Phone (714) 547-4300

Other identifiers 1

IdentifierTypeStateIssuer
A31297OtherCAMEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

1950 E 17th St
Ste 101
Santa Ana, CA 92705
Phone (714) 547-4300

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1639717473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 E 17TH ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056852",
            "telephone_number": "714-547-4300",
            "fax_number": "714-541-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 E 17TH ST STE 101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056852",
            "telephone_number": "714-547-4300",
            "fax_number": "714-541-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL STONE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-547-5375"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A31297",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.