Active NPI
Richard Stanley, R.N.
- Ambulatory Care Registered Nurse
- Oakland, CA
National Provider Identifier
1932582921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- 592176
- Practice address
- 510 17TH St Ste 400
Oakland, CA 94612-1570 - Phone
- (510) 433-1150
- NPI assigned
- Jul 8, 2015
- 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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 592176 | CA | Primary |
Addresses
Primary practice location
510 17TH St Ste 400
Oakland, CA 94612-1570
Mailing address
510 17TH St Ste 400
Oakland, CA 94612-1570
Phone (510) 433-1150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 592176 | CA | MD | Ambulatory Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Elders Independence | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIGICA
Organizations & group practices 1
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.
-
- PACE Provider Organization
- Oakland, CA
- NPI 1245371061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1932582921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 17TH ST STE 400",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121570",
"telephone_number": "510-433-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 17TH ST STE 400",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121570",
"telephone_number": "510-433-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "RICHARD",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "CA",
"license": "592176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.