Individual provider Active NPI

Thomas Spencer Stanton II, M.D.

  • Hematology & Oncology Physician
  • Petaluma, CA
National Provider Identifier
1699855445
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G63014 Issued in CA
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
63014CAMDPharmacist
G63014CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.