John Stafford

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1470360522 Issued in CA

Practice address

8 Sun St
Salinas, CA 93901-3714

Phone

(831) 753-5145

Fax

(831) 753-6007

NPI assigned

Jun 30, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sun Street Centers

  • Substance Abuse Rehabilitation Facility
  • Salinas, CA
  • NPI 1659413151
  NPD (past)

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1902538515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SUN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013714",
            "telephone_number": "831-753-5145",
            "fax_number": "831-753-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SUN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013714",
            "telephone_number": "831-753-5145",
            "fax_number": "831-753-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1470360522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCAPP",
            "identifier": "R1470360522",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Sprinkle, PHD, BCBA-D
• Govindaraj Srinivasan Manivannan, PT, DPT(NEURO), CCI
• Shylaja Srinivasan, MD
• Emily St Jacques, OTR
• St. Junipero Clinic, Inc. (St. Junipero Children's Clinic)
• Katerina Pike Stafford, LMFT
• Fe Calumpong Stallworth, RN
• Stanley Hwang MD Professional Corporation
• Tasha Stanley
• Stars Bay Area Inc (Stars Therapy Services)

• Addiction (Substance Use Disorder) Counselor in Salinas, CA
• Providers in Salinas, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.