Individual provider Active NPI

Eric R Stokmanis, M.D.

  • Hospitalist Physician
  • Paradise, CA
National Provider Identifier
1700819588
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
G75104 Issued in CA
Practice address
5974 Pentz Rd
Paradise, CA 95969-5509
Phone
(530) 877-9361
NPI assigned
Jul 7, 2006
Last updated
Dec 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G75104 CA
Hospitalist Physician 208M00000X G75104 CA Primary

Addresses

Primary practice location

5974 Pentz Rd
Paradise, CA 95969-5509

Mailing address

6470 Pentz Rd
Suite a
Paradise, CA 95969-3674
Phone (530) 872-6650

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ01920ZOtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75104CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Center Past Accepting new patients
Paradise Medical Group, Inc. Internal Medicine PastSince Sep 1, 2012 Accepting new patients
Riverside Medical Center Past Accepting new patients

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1700819588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 PENTZ RD",
            "address_2": "SUITE A",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693674",
            "telephone_number": "530-872-6650",
            "fax_number": "530-872-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5974 PENTZ RD",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695509",
            "telephone_number": "530-877-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKMANIS",
        "first_name": "ERIC",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75104",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G75104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ01920Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.