Stanley Spencer Olenick, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

C37717 Issued in CA

Practice address

790 East Willow St
Suite 100
Long Beach, CA 90806-2703

Phone

(562) 427-7486

Fax

(562) 595-7262

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

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

Specialty

General Practice

Education

Medical College of Pennsylvania, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Asuta Medical Group IncGroup PAC ID 1951814524, 4 clinicians

Chatsworth Medlink IncGroup PAC ID 1153831953, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Healthy People Home Care, Inc. Home health agency, Granada Hills, CA, CCN 559776
• Jax Home Health, Inc Home health agency, Glendale, CA, CCN 757189
• Infinity Healthcare Solutions, Inc Home health agency, Van Nuys, CA, CCN 053196
• Five Star Quality Healthcare, Inc Home health agency, Glendale, CA, CCN 059346

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Asuta Medical Group Inc

  • Health Service Clinic/Center
  • Van Nuys, CA
  • NPI 1104617315
  Medicare reassignment Care Compare group NPD
• Chatsworth Medlink Inc

  • Health Service Clinic/Center
  • Granada Hills, CA
  • NPI 1538973839
  Medicare reassignment Care Compare group NPD
• Sso Medical Group Inc

  • General Practice Physician
  • Van Nuys, CA
  • NPI 1740119098
  NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Five Star Quality Healthcare Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1730325382
  Care Compare affiliation
• Healthy People Home Care Inc.

  • Home Health Agency
  • Van Nuys, CA
  • NPI 1205447976
  Care Compare affiliation
• Infinity Healthcare Solutions Inc

  • Home Health Agency
  • Granada Hills, CA
  • NPI 1073745170
  Care Compare affiliation
• Jax Home Health, Inc

  • Home Health Agency
  • Glendale, CA
  • NPI 1972170082
  Care Compare affiliation

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1942342001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 E WILLOW ST",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062703",
            "telephone_number": "562-427-7486",
            "fax_number": "562-595-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 EAST WILLOW ST",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062703",
            "telephone_number": "562-427-7486",
            "fax_number": "562-595-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLENICK",
        "first_name": "STANLEY",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C37717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00C377170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Olalia
• Folasade Olarewaju
• Jessica Olea
• Camille Villavert Olegario
• Cristhy Grace Tagarda Olegario, DPT
• Eduardo Saul Olguin Gonzalez, SUDRC
• Maritza Olguin
• Anna A Olinova, APCC#14943
• Laura Olivares
• Michael Olivarez, DPT

• Obstetrics & Gynecology Physician in Long Beach, CA
• Providers in Long Beach, 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 May 21, 2008; 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.
• 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.