Individual provider Active NPI

Henrietta Stancz-Szeder, MD

  • Obstetrics & Gynecology Physician
  • Beverly Hills, CA
National Provider Identifier
1760795991
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A116940 Issued in CA
Practice address
436 N Roxbury Dr Ste 205
Beverly Hills, CA 90210-5017
Phone
(310) 734-7367
Fax
(310) 734-7388
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A116940 CA Primary

Addresses

Primary practice location

436 N Roxbury Dr Ste 205
Beverly Hills, CA 90210-5017

Mailing address

3064 Motor Ave
Los Angeles, CA 90064-4745
Phone (310) 734-7367

Other names 1

  • Henrietta Stancz Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hstanczszeder473484@oc.providencedirect.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000651 CA Practitioner - Obstetrics/Gynecology 2264628379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

436 N Roxbury Dr
Suite 205
Beverly Hills, CA 90210-5017
Phone (310) 734-7367

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Dec 1, 2020 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Dec 1, 2020 Accepting new patients
Rodeo Medical Group Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
Amboy Medical Practice PC Past Accepting new patients
Amboy Medical Practice PC Obstetrics & Gynecology PastSince Sep 1, 2024 Accepting new patients

Locations

421 N Rodeo Dr
Ph 1
Beverly Hills, CA 90210
Phone (310) 432-6640

9720 Wilshire Blvd
Ste Ll
Beverly Hills, CA 90212
Phone (310) 432-6640

12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

Interoperability endpoints

  • Direct secure messaging: hstanczszeder473484@oc.providencedirect.org

Organizations & group practices 6

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1760795991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3064 MOTOR AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644745",
            "telephone_number": "310-734-7367",
            "fax_number": "310-734-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105017",
            "telephone_number": "310-734-7367",
            "fax_number": "310-734-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANCZ-SZEDER",
        "first_name": "HENRIETTA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A116940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hstanczszeder473484@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2121 Santa Monica Blvd",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HENRIETTA",
            "last_name": "STANCZ",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.