Stanley K. Mathis, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3598 Issued in CA

Practice address

1701 E Cesar E Chavez Ave
Suite #510
Los Angeles, CA 90033-2464

Phone

(323) 987-1362

Fax

(323) 987-1365

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Stanley K Mathis DPM IncGroup PAC ID 7416284138, 7 clinicians

White Memorial Medical Group IncGroup PAC ID 9436042967, 12 clinicians

Complete Care Community Health Center, IncGroup PAC ID 3779494190, 45 clinicians

Bear Valley Community Health Care DistrictGroup PAC ID 0345138582, shared by 3 NPIs, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: stanley.mathisdpm.p1@direct.ccchcenter.nextgenshare.com
• Direct secure messaging: stanley.mathis.p1@direct.caremorewest.nextgenshare.com
• Direct secure messaging: stanley.mathis.1@27758.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stanley K Mathis DPM Inc

  • Podiatrist
  • San Clemente, CA
  • NPI 1649737651
  Medicare reassignment Care Compare group NPD Authorized official
• Complete Care Community Health Center, Inc

  • PACE Provider Organization
  • Los Angeles, CA
  • NPI 1215113964
  Medicare reassignment Care Compare group NPD
• White Memorial Medical Group, Inc.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1689769374
  Medicare reassignment Care Compare group
• Southern California Medical Center, Inc.

  • Community Health Clinic/Center
  • El Monte, CA
  • NPI 1225357114
  Medicare reassignment NPD
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  Medicare reassignment
• Complete Care Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1316729403
  NPD
• Southern California Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1447865415
  NPD
• Dignity Health

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  NPD (past)
• Glendale Adventist Medical Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293
  NPD (past)
• University of California Irvine

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1871516922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "STE 510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332488",
            "telephone_number": "323-987-1362",
            "fax_number": "323-987-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE #510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332464",
            "telephone_number": "323-987-1362",
            "fax_number": "323-987-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "STANLEY",
        "middle_name": "K.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E35980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dyuthi Mathews Tharakan
• Eric Joseph Mathews, MD
• Kaylen Mathews
• Elyse Yuko Mathis, NP
• Kristopher Ian Mathis, PH.D.
• Glenn Eric Mathisen, MD
• Nora Tansey Mathison
• Witaya Mathiyakom, PHD, PT
• Anju Mathur, M.D.
• Deepti Mathur, M.B;B.S.

• Podiatrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.