Organization Active NPI

William F. Stubbeman, M.D., Apc

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1669508180
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G079364 Issued in CA
Legal business name
WILLIAM F. STUBBEMAN, M.D., APC
Practice address
12401 Wilshire Blvd
Ste. 303
Los Angeles, CA 90025-1085
Phone
(310) 386-3955
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William F Stubbeman, M.D.
Title
Owner
Phone
(310) 386-3955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G079364 CA Primary

Addresses

Primary practice location

12401 Wilshire Blvd
Ste. 303
Los Angeles, CA 90025-1085

Mailing address

12401 Wilshire Blvd
Ste. 303
Los Angeles, CA 90025-1085

National Provider Directory

National Provider Directory
Tax ID family
William F Stubbeman MD a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669508180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 WILSHIRE BLVD",
            "address_2": "STE. 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 WILSHIRE BLVD",
            "address_2": "STE. 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251085",
            "telephone_number": "310-386-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F. STUBBEMAN, M.D., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUBBEMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-386-3955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G079364",
            "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 Aug 22, 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.