Active NPI
Thomas Spencer Stanton II, M.D.
- Hematology & Oncology Physician
- Petaluma, CA
National Provider Identifier
1699855445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G63014
- Practice address
- 110 Lynch Creek Way Ste a
Petaluma, CA 94954-2337 - Phone
- (707) 763-0600
- Fax
- (707) 765-1757
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | G63014 | CA | |
| Hematology & Oncology Physician | 207RH0003X | G63014 | CA | Primary |
| Medical Oncology Physician | 207RX0202X | G63014 | CA |
Addresses
Primary practice location
110 Lynch Creek Way Ste a
Petaluma, CA 94954-2337
Mailing address
110 Lynch Creek Way Ste a
Petaluma, CA 94954-2337
Phone (707) 763-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63014 | CA | MD | Pharmacist |
| G63014 | CA | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Redwood Regional Medical Group Inc | Hematology & Oncology | Past | Accepting new patients |
| Redwood Regional Medical Group, Inc. | Past | Accepting new patients | |
| SRM Alliance Hospital Services | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Santa Rosa, CA
- NPI 1275556607
-
dba Redwood Regional Oncology Center
- Clinical Medical Laboratory
- Santa Rosa, CA
- NPI 1588743264
-
dba Petaluma Valley Hospital
- Skilled Nursing Facility
- Petaluma, CA
- NPI 1770703886
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1699855445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LYNCH CREEK WAY STE A",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542337",
"telephone_number": "707-763-0600",
"fax_number": "707-765-1757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LYNCH CREEK WAY STE A",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949542337",
"telephone_number": "707-763-0600",
"fax_number": "707-765-1757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "THOMAS",
"middle_name": "SPENCER",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "CA",
"license": "G63014",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G63014",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "CA",
"license": "G63014",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Petaluma, CA
- St Jude Hospital Yorba Linda (St Joseph Heritage Healthcare)
- St. Joseph Home Care Network (Providence Hospice Sonoma County)
- Krystallin Stacy
- Arnella O Stafford
- Ariel N Stanford
- Rebecca A Stanwyck, LCSW
- Alicia Lynn Starrett, M.A.
- Kelly Staton, O.D.
- Marilyn Stefonetti, LMFT, NE
- Martin Richard Steigner, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.