Active NPI
Stephanie Colantonio, MD
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1659814416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A153305
- Practice address
- 2001 S Barrington Ave Ste 221
Los Angeles, CA 90025-5385 - Phone
- (805) 267-9281
- NPI assigned
- Nov 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A153305 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave Ste 221
Los Angeles, CA 90025-5385
Mailing address
2001 S Barrington Ave Ste 221
Los Angeles, CA 90025-5385
Phone (805) 267-9281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Sep 16, 2022 through Sep 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A153305 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1659814416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE STE 221",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255385",
"telephone_number": "805-267-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE STE 221",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255385",
"telephone_number": "805-267-9281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLANTONIO",
"first_name": "STEPHANIE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-28",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A153305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.