Stacey Kikumi Naito, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A8154 Issued in CA

Practice address

9900 Balboa Blvd
Suite E
Northridge, CA 91325-5403

Phone

(818) 701-0017

Fax

(818) 701-0073

NPI assigned

Oct 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: stacey.naito.p1@direct.lakeside.nextgenshare.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.

• Stacey Naito D.O. Inc

  • Family Medicine Physician
  • Arleta, CA
  • NPI 1619599339
  NPD Authorized official
• Balboa Medical & Wellness Center,Inc.

  • General Practice Physician
  • Northridge, CA
  • NPI 1215132238
  NPD (past)
• Raeesy MD Inc

  • Internal Medicine Physician
  • Encino, CA
  • NPI 1366731762
  NPD (past)
• Seong M. Yoo, DPM Medical Corporation

  • Foot & Ankle Surgery Podiatrist
  • Hacienda Heights, CA
  • NPI 1861507501

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1288310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1902106560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BALBOA BLVD",
            "address_2": "SUITE E",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255403",
            "telephone_number": "818-701-0017",
            "fax_number": "818-701-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 BALBOA BLVD",
            "address_2": "SUITE E",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913255403",
            "telephone_number": "818-701-0017",
            "fax_number": "818-701-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAITO",
        "first_name": "STACEY",
        "middle_name": "KIKUMI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-29",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "20A8154",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bassam Michael Naber, DC
• Narmeen Adnan Nabil, MD
• Michelle Silke Nagy
• Lina M Nahue, RN FNP
• Nairi Kureghian, D.D.S., Inc
• Roya Najafi Sales
• Raffi George Najarian, DDS
• Kentaro Nakajima
• Ritah Nakamya
• Shamusa Nankinga

• Family Medicine Physician in Northridge, CA
• Providers in Northridge, 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 Oct 29, 2010; 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.

Verify at the official NPI Registry.