William David Stanley, MD

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

C153751 Issued in CA

Practice address

23661 Pacific Coast Hwy # B
Malibu, CA 90265-4825

Phone

(310) 341-0188

Fax

(818) 668-3604

NPI assigned

Jun 6, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Parkside Medical Associates, P.a.

  • Internal Medicine Physician
  • Trenton, NJ
  • NPI 1326086091
  NPD (past) Authorized official
• Ansuva Inc

  • Substance Abuse Rehabilitation Facility
  • Santa Clarita, CA
  • NPI 1003681651
  NPD (past)
• Authentic Recovery, LLC.

  • Substance Abuse Rehabilitation Facility
  • Los Angeles, CA
  • NPI 1114173036
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1730128513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23661 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654825",
            "telephone_number": "310-341-0188",
            "fax_number": "818-668-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23661 PACIFIC COAST HWY # B",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654825",
            "telephone_number": "310-341-0188",
            "fax_number": "818-668-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "CA",
            "license": "C153751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soba Living LLC
• Soba Outpatient and Recovery LLC
• Socal Psych, Inc
• Socal Recovery Centers, Inc.
• Shahram Soroudi, PHARMD
• Star & Sky Physical Therapy, Inc
• Robin Steinberg, LMFT
• Barbara Stern, R.N.
• Susan J Stiffelman, MFT
• Morgan Stiles, LCSW138546

• Addiction Medicine (Internal Medicine) Physician in Malibu, CA
• Providers in Malibu, CA by specialty
• Addiction Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.