Organization Active NPI

David S. Stone MD Inc. a Professional Corporation

  • Otolaryngology Physician
  • Pleasanton, CA
National Provider Identifier
1760651376
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A34026 Issued in CA
Legal business name
DAVID S. STONE MD INC. A PROFESSIONAL CORPORATION
Practice address
5565 W Las Positas Blvd
Suite 350
Pleasanton, CA 94588-5809
Phone
(925) 463-1070
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Shirley S Stone
Title
Office Manager
Phone
(925) 463-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X A34026 CA Primary

Addresses

Primary practice location

5565 W Las Positas Blvd
Suite 350
Pleasanton, CA 94588-5809

Mailing address

5565 W Las Positas Blvd
Suite 350
Pleasanton, CA 94588-5809
Phone (925) 463-1070

Other identifiers 2

IdentifierTypeStateIssuer
00A340260MedicaidCA
040000797OtherCARAILROAD MEDICARE

Other names 1

  • David S. Stone MD., Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100929000943 CA Part B Supplier - Clinic/Group Practice 6002932878 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Locations

5565 W Las Positas Blvd
Ste 350
Pleasanton, CA 94588
Phone (925) 463-1070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1760651376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "SUITE 350",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885809",
            "telephone_number": "925-463-1070",
            "fax_number": "925-463-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 W LAS POSITAS BLVD",
            "address_2": "SUITE 350",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885809",
            "telephone_number": "925-463-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. STONE MD INC. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-463-1070"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A34026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A340260",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040000797",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David S. Stone MD., Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.