NPIMap

Individual provider Active NPI

Mareeni Stanislaus, MD

  • Obstetrics & Gynecology Physician
  • Templeton, CA
National Provider Identifier
1730105123
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G82207 Issued in CA
Practice address
350 Posada LN Ste 201
Templeton, CA 93465-4060
Phone
(805) 434-3000
Fax
(805) 329-5229
NPI assigned
Jul 15, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G82207 CA Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X G82207 CA

Addresses

Primary practice location

350 Posada LN Ste 201
Templeton, CA 93465-4060

Mailing address

350 Posada LN Ste 201
Templeton, CA 93465-4060
Phone (805) 434-3000

Other practice location 1

1310 Las Tablas Rd Ste 104
Templeton, CA 93465-9746
Phone (805) 434-3000

Other identifiers 3

IdentifierTypeStateIssuer
CB218342OtherCAMEDICARE ID
GR0092204MedicaidCA
00G822070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050331001251 CA Practitioner - Obstetrics/Gynecology 9032010749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Diego School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mareeni T Stanislaus MD a Medical CorporationGroup PAC ID 7618233438, 3 clinicians

Practice addresses (Care Compare)

350 Posada LN
Suite 201
Templeton, CA 93465-4060
Phone (805) 434-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.44 of 100Reported as group
Quality
76.51
Improvement activities
40
Cost
72.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G82207CAMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Nov 5, 2025 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Mareeni T Stanislaus MD a Medical Corporation Obstetrics & Gynecology CurrentSince Nov 1, 2017 Accepting new patients
Hullander and Mozingo LP PastSince Nov 1, 2017 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

210 Canal St
King City, CA 93930
Phone (931) 385-7100

300 Canal St
King City, CA 93930
Phone (831) 385-6000

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

350 Posada Ln
Ste 201
Templeton, CA 93465
Phone (805) 434-0876

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mstanislaus@mtsmi-ca.direct.office.nextgen.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1730105123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POSADA LN STE 201",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654060",
            "telephone_number": "805-434-3000",
            "fax_number": "805-329-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POSADA LN STE 201",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654060",
            "telephone_number": "805-434-3000",
            "fax_number": "805-329-5229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Las Tablas Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "CA",
            "postal_code": "934659746",
            "country_code": "US",
            "telephone_number": "805-434-3000",
            "fax_number": "805-329-5229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANISLAUS",
        "first_name": "MAREENI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G82207",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "G82207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB218342",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092204",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G822070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Templeton, CA

Sources for this page

Verify at the official NPI Registry.