Active NPI
Catherine E Stanecki, D.O.
- Neurology with Special Qualifications in Child Neurology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 20A17395
- Practice address
- 8723 Alden Dr Ste 240
Los Angeles, CA 90048-3692 - Phone
- (310) 423-7779
- Fax
- (310) 423-8269
- NPI assigned
- Apr 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 20A17395 | CA | Primary |
Addresses
Primary practice location
8723 Alden Dr Ste 240
Los Angeles, CA 90048-3692
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Other practice location 1
14901 Fonthill Ave
Hawthorne, CA 90250-8429
Phone (530) 304-3163
Other practice location 2
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-7779
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17395 | CA | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 17395 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients | |
| Community Memorial Health System | Current | Accepting new patients |
Locations
501 S Buena Vista St
Burbank, CA 91505
Phone (818) 783-0800
422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
8723 Alden Dr
Los Angeles, CA 90048
Phone (310) 423-3870
8723 Alden Dr
Ste 240
Los Angeles, CA 90048
Phone (310) 423-2331
3655 W 5th St
Oxnard, CA 93030
Phone (805) 667-3909
2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588
18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011
5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469
138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
Interoperability endpoints
- cstanecki509623@direct.cshs.org
- cstanecki3514728@oc.providencedirect.org
Organizations & group practices 6
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Pharmacy
- Los Angeles, CA
- NPI 1376514810
-
- Multi-Specialty Clinic/Center
- Ventura, CA
- NPI 1295773224
-
- Multi-Specialty Clinic/Center
- Ojai, CA
- NPI 1588446892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1952834632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8723 ALDEN DR STE 240",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900483692",
"telephone_number": "310-423-7779",
"fax_number": "310-423-8269"
}
],
"practiceLocations": [
{
"address_1": "14901 Fonthill Ave",
"address_purpose": "LOCATION",
"city": "Hawthorne",
"state": "CA",
"postal_code": "902508429",
"country_code": "US",
"telephone_number": "530-304-3163",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Beverly Blvd",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-7779",
"fax_number": "310-423-8269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANECKI",
"first_name": "CATHERINE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-09",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "CA",
"license": "20A17395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.