Peter Stoops D.O. Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PETER STOOPS D.O. INC

Practice address

13312 Ranchero Rd Ste 16
Oak Hills, CA 92344-4802

Phone

(760) 948-0132

Fax

(760) 357-0357

NPI assigned

Oct 17, 2018

Organization subpart

No

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

Authorized official

Name

Peter Stoops, DONPI 1518912526

Title

Ceo

Phone

(760) 948-0132

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Peter Stoops, D.O.

  • Family Medicine Physician
  • Phelan, CA
  • NPI 1518912526
  Medicare reassignment Authorized official
• Diana Martinez

  • Family Nurse Practitioner
  • Oak Hills, CA
  • NPI 1356807143
  Medicare reassignment

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1851867758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13312 RANCHERO RD STE 16",
            "city": "OAK HILLS",
            "state": "CA",
            "postal_code": "923444802",
            "telephone_number": "760-948-0132",
            "fax_number": "760-357-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13312 RANCHERO RD STE 16",
            "city": "OAK HILLS",
            "state": "CA",
            "postal_code": "923444802",
            "telephone_number": "760-948-0132",
            "fax_number": "760-357-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER STOOPS D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "STOOPS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-948-0132",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kareen Ocampo
• Katherine Ortega
• Brooke A Palmer
• Andres Pantaja
• Joanna Perez
• Lindsay Rock
• Arely Rodriguez
• Diogenes Anthony Roman III, MSW
• Diana Romero
• Saint Thompsons Group LLC

• Primary Care Clinic/Center in Oak Hills, CA
• Providers in Oak Hills, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.