Graydon Stanley

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1200 Rosecrans Ave Ste 206
Manhattan Beach, CA 90266-2451

Phone

(310) 726-0750

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1952156333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 E 11TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908046429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 206",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662451",
            "telephone_number": "310-726-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "GRAYDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Medical Partners, Inc
• South Bay TMS Therapy Center
• Specialty Medical Group Ca PC
• Mitchell Norman Spirt, D.C.
• Sports and Regeneration Medicine Institute Inc
• Julian B. Stanley, M.D.
• Starlight Anesthesia Inc
• Patricia Ellen Starobin, R.N., M.S., GNP
• Howard E Stein, OD
• Jonathan Mark Stein, O.D.

• Athletic Trainer in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.