Michael Dale Stouder, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G56697 Issued in CA

Practice address

26795 Portola Pkwy
Foothill Ranch, CA 92610

Phone

(949) 829-9403

Fax

(949) 829-9422

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California Emergency Physician Medical Group

  • General Practice Physician
  • Walnut Creek, CA
  • NPI 1962791293
  NPD (past)
• Mission Hospital Regional Medical Center

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)
• Saddleback Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Laguna Hills, CA
  • NPI 1114967114
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1669575866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26795 PORTOLA PKWY",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926101713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26795 PORTOLA PKWY",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "92610",
            "telephone_number": "949-829-9403",
            "fax_number": "949-829-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDER",
        "first_name": "MICHAEL",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G56697",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G56697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michaelstouder@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "26795 Portola Pkwy",
            "city": "Foothill Ranch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Speech Bee Speech Therapy, Inc.
• Amy Spencer, SLP
• Sportslab Socal Dr. JC Zegarra Chiropractic PC
• Rylee Lynn Stahl
• Christopher Stalewski
• Samuel Sunshine, MD
• Suzin Um DDS, Inc
• Jane Swartz
• Brian Tan
• Charlene Tong, DDS

• Family Medicine Physician in Foothill Ranch, CA
• Providers in Foothill Ranch, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.