Organization Active NPI

Frederick L.Stafford M.D., Inc.

  • Surgery Physician
  • Laguna Hills, CA
National Provider Identifier
1699062083
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
FREDERICK L.STAFFORD M.D., INC.
Practice address
25431 Cabot Rd Ste 107
Laguna Hills, CA 92653-5526
Phone
(562) 427-1322
Fax
(562) 427-2255
NPI assigned
Jul 6, 2011
Last updated
Sep 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Mr. Gabrielle Salud, ADMIN
Title
Admin/Business Manager
Phone
(562) 427-1322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

25431 Cabot Rd Ste 107
Laguna Hills, CA 92653-5526

Mailing address

25431 Cabot Rd Ste 107
Laguna Hills, CA 92653-5526
Phone (562) 427-1322

National Provider Directory

National Provider Directory

Locations

25431 Cabot Rd
Ste 107
Laguna Hills, CA 92653
Phone (562) 427-1322

701 E 28th St
Ste 416
Long Beach, CA 90806
Phone (562) 427-1322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1699062083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535526",
            "telephone_number": "562-427-1322",
            "fax_number": "562-427-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25431 CABOT RD STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535526",
            "telephone_number": "562-427-1322",
            "fax_number": "562-427-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK L.STAFFORD M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "SALUD",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "ADMIN/BUSINESS MANAGER",
        "authorized_official_telephone_number": "562-427-1322",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMIN"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.