Active NPI
Michael R Stanley
- Registered Nurse
- Pasadena, CA
National Provider Identifier
1770880551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 715931
- Practice address
- 173 N Allen Ave Apt 4
Pasadena, CA 91106-2209 - Phone
- (626) 365-2818
- NPI assigned
- Feb 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 715931 | CA | Primary |
Addresses
Primary practice location
173 N Allen Ave Apt 4
Pasadena, CA 91106-2209
Mailing address
173 N Allen Ave Apt 4
Pasadena, CA 91106-2209
Phone (626) 765-6803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 715931 | CA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1770880551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 N ALLEN AVE APT 4",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062209",
"telephone_number": "626-765-6803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 N ALLEN AVE APT 4",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062209",
"telephone_number": "626-365-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "MICHAEL",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-14",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CA",
"license": "715931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.