Mareeni T Stanislaus MD a Medical Corporation

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MAREENI T STANISLAUS MD A MEDICAL CORPORATION

Practice address

350 Posada LN Ste 201
Templeton, CA 93465-4060

Phone

(805) 434-3000

Fax

(805) 329-5229

NPI assigned

Aug 10, 2017

Organization subpart

No

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

Authorized official

Name

Mareeni Stanislaus, MDNPI 1730105123

Title

President

Phone

(805) 434-3000

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mareeni Stanislaus, MD

  • Obstetrics & Gynecology Physician
  • Templeton, CA
  • NPI 1730105123
  Medicare reassignment Care Compare group NPD Authorized official
• Annie-Claude Sanchis, NP

  • Family Nurse Practitioner
  • Morro Bay, CA
  • NPI 1093091829
  Medicare reassignment Care Compare group NPD
• Christine Emory Jacobson

  • Physician Assistant
  • Templeton, CA
  • NPI 1649953332
  Medicare reassignment Care Compare group
• Jessica Baker-Ballantyne, NM, RN

  • Advanced Practice Midwife
  • Templeton, CA
  • NPI 1669646824
  Medicare reassignment NPD
• Kristy Graham, FNP-BC

  • Family Nurse Practitioner
  • Malibu, CA
  • NPI 1134749898
  Medicare reassignment NPD
• Kaitlyn Wetzel, WHNP-BC

  • Women's Health Nurse Practitioner
  • Templeton, CA
  • NPI 1306625025
  Medicare reassignment NPD
• Jill Ann Tracy, NP-C

  • Family Nurse Practitioner
  • Paso Robles, CA
  • NPI 1669466132
  NPD
• Meg Ketchum, NP

  • Women's Health Nurse Practitioner
  • Templeton, CA
  • NPI 1215955273
  NPD (past)
• Danny Leroy Lickness, MD

  • Obstetrics & Gynecology Physician
  • San Luis Obispo, CA
  • NPI 1275553653
  NPD (past)

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1922523943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POSADA LN STE 201",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POSADA LN STE 201",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654060",
            "telephone_number": "805-434-3000",
            "fax_number": "805-329-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAREENI T STANISLAUS MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "STANISLAUS",
        "authorized_official_first_name": "MAREENI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-434-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Lu, M.D.
• Gary M Lucchesi, MD
• George P. Lum, MD
• Megan Elizabeth Macha, NP
• Adriana Magee, FNP
• Marlene M Cordero M.D Incorporated.
• Elena Martinho, MD
• Mary M. Nave MD Inc.
• Brian Thomas McAllen
• Steven Jerome McAllen, M.D.

• Obstetrics & Gynecology Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.