Individual provider Active NPI

Adam Stelling

  • Anatomic Pathology & Clinical Pathology Physician
  • Rancho Dominguez, CA
National Provider Identifier
1659639417
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A130440 Issued in CA
Practice address
2374 E Pacifica PL
Rancho Dominguez, CA 90220
Phone
(310) 225-3244
Fax
(310) 698-7040
NPI assigned
Apr 30, 2012
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A130440 CA Primary

Addresses

Primary practice location

2374 E Pacifica PL
Rancho Dominguez, CA 90220

Mailing address

2374 E Pacifica PL
Rancho Dominguez, CA 90220-6214
Phone (310) 225-3244

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
I20160615002584 CA Practitioner - Pathology 7214228683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Loma Linda University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Affiliated Pathologists Medical Group, Inc.Group PAC ID 7315840535, 46 clinicians

Practice addresses (Care Compare)

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.39 of 100Reported as group
Quality
88.62
Improvement activities
40
Cost
77.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A130440CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2016 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2016 Accepting new patients
Soc Pathology Medical Group Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jun 22, 2021 Accepting new patients
Affiliated Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 16, 2018 Accepting new patients
County of Los Angeles Current Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

20001 S Rancho Way
Rancho Dominguez, CA 90220
Phone (310) 225-3221

2374 E Pacifica Pl
Rancho Dominguez, CA 90220
Phone (310) 225-3221

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

Interoperability endpoints

  • Direct secure messaging: astelling728284@direct.memorialcare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1659639417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2374 E PACIFICA PL",
            "city": "RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902206214",
            "telephone_number": "310-225-3244",
            "fax_number": "310-698-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 E PACIFICA PL",
            "city": "RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "90220",
            "telephone_number": "310-225-3244",
            "fax_number": "310-698-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLING",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A130440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Dominguez, CA

Sources for this page

Verify at the official NPI Registry.