Stacy L Waneka, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A68263 Issued in CA

Practice address

2475 Townsgate Rd Ste 200
Westlake Village, CA 91361-5995

Phone

(818) 338-2540

Fax

(818) 338-1498

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of California, Davis School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Stacy Leigh Waneka MD PC

  • Family Medicine Physician
  • Westlake Village, CA
  • NPI 1811622624
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1871557546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 LAS VIRGENES RD APT 7",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022693",
            "telephone_number": "310-270-3800",
            "fax_number": "818-338-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 TOWNSGATE RD STE 200",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615995",
            "telephone_number": "818-338-2540",
            "fax_number": "818-338-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANEKA",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A68263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Robert Wadman, LMFT
• Parker Bryan Walden
• Erin Walker, DDS, MSD
• Warren R Walker, PH.D.
• James Wallenberg, DPT
• Warby Parker Inc.
• Debra Warner, M.S., L.M.F.T. 82007
• Susan Mary Warren Warshow, LCSW
• Olayinka Kenneth Warritay, M.D.
• Jasmine Washington

• Family Medicine Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.