Organization Active NPI

Mervyn a. Stoll, M.D., Inc.

  • Anesthesiology Physician
  • Lancaster, CA
National Provider Identifier
1851441067
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A39824 Issued in CA
Legal business name
MERVYN A. STOLL, M.D., INC.
Practice address
1720 W Avenue J
Lancaster, CA 93534-2700
Phone
(661) 952-1100
Fax
(661) 952-1103
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mervyn A. Stoll, M.D.
Title
President
Phone
(661) 723-6806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X A39824 CA Primary

Addresses

Primary practice location

1720 W Avenue J
Lancaster, CA 93534-2700

Mailing address

101 S 1St St
Suite 1000
Burbank, CA 91502-1938
Phone (818) 845-6206

National Provider Directory

National Provider Directory

Locations

1720 W Avenue J
Lancaster, CA 93534
Phone (661) 940-6060

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851441067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 1ST ST",
            "address_2": "SUITE 1000",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021938",
            "telephone_number": "818-845-6206",
            "fax_number": "818-845-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342700",
            "telephone_number": "661-952-1100",
            "fax_number": "661-952-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERVYN A. STOLL, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "MERVYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-723-6806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A39824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.