Stacy Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

STACY MEDICAL CENTER

Practice address

4580 Pacific Blvd
Vernon, CA 90058-2208

Phone

(323) 584-0779

Fax

(323) 584-2282

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Steven Harlan Florman, M.D.

Title

Medical Director

Phone

(323) 584-0779

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1861830648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 PACIFIC BLVD",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900582208",
            "telephone_number": "323-584-0779",
            "fax_number": "323-584-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 PACIFIC BLVD",
            "city": "VERNON",
            "state": "CA",
            "postal_code": "900582208",
            "telephone_number": "323-584-0779",
            "fax_number": "323-584-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "FLORMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "HARLAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-584-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Vernon, CA
• Providers in Vernon, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.