Individual provider Active NPI

Honor Fullerton Stone, M.D.

  • Specialist
  • Menlo Park, CA
National Provider Identifier
1962425496
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G64868 Issued in CA
Practice address
888 Oak Grove Ave
Suite 8
Menlo Park, CA 94025-4432
Phone
(650) 325-1511
Fax
(650) 617-1079
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G64868 CA Primary

Addresses

Primary practice location

888 Oak Grove Ave
Suite 8
Menlo Park, CA 94025-4432

Mailing address

888 Oak Grove Ave
Suite 8
Menlo Park, CA 94025-4432
Phone (650) 325-1511

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080815000346 CA Practitioner - Dermatology 4082789656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Massachusetts Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menlo Dermatology Medical Group and Laser Center IncGroup PAC ID 9537108584, 2 clinicians

Practice addresses (Care Compare)

888 Oak Grove Ave
Suite 8
Menlo Park, CA 94025-4428
Phone (650) 325-1511

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of skin lesions443
Removal or shaving of skin growth1-10
Skin biopsy70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G64868CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Menlo Dermatology Medical Group and Laser Center Inc Specialist CurrentSince Apr 29, 2007 Accepting new patients

Locations

888 Oak Grove Ave
Ste 7
Menlo Park, CA 94025

888 Oak Grove Ave
Ste 8
Menlo Park, CA 94025
Phone (650) 325-1511

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962425496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 OAK GROVE AVE",
            "address_2": "SUITE 8",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254432",
            "telephone_number": "650-325-1511",
            "fax_number": "650-617-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OAK GROVE AVE",
            "address_2": "SUITE 8",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254432",
            "telephone_number": "650-325-1511",
            "fax_number": "650-617-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "HONOR",
        "middle_name": "FULLERTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G64868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.