Miles Vincent Stanich MD Inc, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G24707 Issued in CA

Practice address

3795 30TH St Ste a
San Diego, CA 92104-3631

Phone

(619) 260-1958

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael S Duffy Sr DO Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1316175342
  NPD
• Claudio V. Zawitkowski M.D., Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1063608289
  NPD (past)
• Jerry Rand Apmc

  • Infusion Therapy Clinic/Center
  • San Diego, CA
  • NPI 1427140367
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1700907771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 30TH ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043631",
            "telephone_number": "619-260-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 30TH ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043631",
            "telephone_number": "619-260-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANICH MD INC",
        "first_name": "MILES",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G24707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Stanford, MFTT
• James Stang, DC
• Madison Rose Stangeby, NONE
• Lisa Stangl
• Lisa Annette Stangl, NP
• Nicole Stanko
• Pavleta Stankoulova, L.AC, MSTOM
• Michael Stankovich
• Stanley D. Skaggs, M.D. Inc
• Amanda Stanley

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.