Active NPI
Donald L Stanton, M.D.
- Dermatology Physician
- Paso Robles, CA
National Provider Identifier
1891046173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- CF32427
- Practice address
- 3432 Las Tablas Willow Creek Rd.
Paso Robles, CA 93446 - Phone
- (805) 226-8448
- Fax
- (805) 226-8558
- NPI assigned
- Sep 26, 2012
- Last updated
- Sep 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | CF32427 | CA | Primary |
Addresses
Primary practice location
3432 Las Tablas Willow Creek Rd.
Paso Robles, CA 93446
Mailing address
3432 Las Tablas Willow Creek Rd
Paso Robles, CA 93446
Phone (805) 226-8448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CF32427 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348617600000",
"number": "1891046173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3432 LAS TABLAS WILLOW CREEK RD",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "93446",
"telephone_number": "805-226-8448",
"fax_number": "805-226-8558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3432 LAS TABLAS WILLOW CREEK RD.",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "93446",
"telephone_number": "805-226-8448",
"fax_number": "805-226-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANTON",
"first_name": "DONALD",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-26",
"last_updated": "2012-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "CF32427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.