Michael Jaroslav Stastny, DPM, a Professional Corporation

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5216 Issued in CA

Legal business name

MICHAEL JAROSLAV STASTNY, DPM, A PROFESSIONAL CORPORATION

Practice address

3180 Colima Rd Ste a
Hacienda Heights, CA 91745-6315

Phone

(626) 961-1882

NPI assigned

Jul 26, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jaroslav Stastny, DPMNPI 1093058216

Title

President

Phone

(714) 334-5795

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

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

• Michael Jaroslav Stastny, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hacienda Heights, CA
  • NPI 1093058216
  Medicare reassignment NPD Authorized official
• Lorelei C Achor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Laguna Hills, CA
  • NPI 1417999244
  NPD (past)
• Ralph Lowell Cummings, MD

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1003941246
  NPD (past)
• Louie G Mahairas, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Laguna Hills, CA
  • NPI 1598843740
  NPD (past)
• Brian I Watanabe, MD

  • Vascular Surgery Physician
  • Laguna Hills, CA
  • NPI 1831262203
  NPD (past)

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1780108381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 ARCHWOOD AVE",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212707",
            "telephone_number": "714-334-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 COLIMA RD STE A",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456315",
            "telephone_number": "626-961-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL JAROSLAV STASTNY, DPM, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-26",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "STASTNY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAROSLAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-334-5795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fanmin Meng, LAC
• Michelle Mercado
• Isabella Merchain
• Angelica Meza
• Monica Meza
• Zachary Spencer Michaels, OTR/L
• Amy Leone Michelena, FNP
• Alexa Miera
• Zoey G Miller
• Moc & Patel

• Foot & Ankle Surgery Podiatrist in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.