Pavleta Stankoulova, L.AC, MSTOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12970 Issued in CA

Practice address

3156 Sports Arena Blvd
San Diego, CA 92110-4525

Phone

(858) 220-5777

NPI assigned

Aug 11, 2010

Last updated

Aug 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1649585902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9456 COMPASS POINT DR S UNIT 7",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921265544",
            "telephone_number": "858-220-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 SPORTS ARENA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104525",
            "telephone_number": "858-220-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANKOULOVA",
        "first_name": "PAVLETA",
        "credential": "L.AC, MSTOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Rose Stangeby, NONE
• Lisa Stangl
• Lisa Annette Stangl, NP
• Miles Vincent Stanich MD Inc, MD
• Nicole Stanko
• Michael Stankovich
• Stanley D. Skaggs, M.D. Inc
• Amanda Stanley
• Annika Stanley
• Annika Hope Stanley, DO

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.