Organization Active NPI

Stanley J Alexander MD Inc

  • Rheumatology Physician
  • Arcadia, CA
National Provider Identifier
1689760597
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A19343 Issued in CA
Legal business name
STANLEY J ALEXANDER MD INC
Practice address
1505 S Baldwin Ave
Suite a
Arcadia, CA 91007-7925
Phone
(626) 446-1972
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Stanley J Alexander, MDNPI 1497814685
Title
Owner
Phone
(626) 446-0194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X A19343 CA Primary

Addresses

Primary practice location

1505 S Baldwin Ave
Suite a
Arcadia, CA 91007-7925

Mailing address

1505 S Baldwin Ave
Suite a
Arcadia, CA 91007-7925
Phone (626) 446-1972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091124000532 CA Part B Supplier - Clinic/Group Practice 8022157437 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1689760597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 S BALDWIN AVE",
            "address_2": "SUITE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077925",
            "telephone_number": "626-446-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 S BALDWIN AVE",
            "address_2": "SUITE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077925",
            "telephone_number": "626-446-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J ALEXANDER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-446-0194",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A19343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.