Active NPI
Stanley Calderwood, M.D., Inc.
- Pediatric Hematology & Oncology Physician
- Long Beach, CA
National Provider Identifier
1962698985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- A73264
- Legal business name
- STANLEY CALDERWOOD, M.D., INC.
- Practice address
- 2801 Atlantic Ave
Long Beach, CA 90806-1701 - Phone
- (562) 933-8007
- Fax
- (562) 933-8606
- NPI assigned
- Sep 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stanley Calderwood, M.D.
- Title
- President
- Phone
- (714) 289-4511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | A73264 | CA | Primary |
Addresses
Primary practice location
2801 Atlantic Ave
Long Beach, CA 90806-1701
Mailing address
455 S Main St
PSF Management Services
Orange, CA 92868-3835
Phone (714) 532-8649
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A732640 | Medicaid | CA | |
| 1538112149 | Other | CA | NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Coast Hem Oncology
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Hematology & Oncology Physician
- Long Beach, CA
- NPI 1750543740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200268800000",
"number": "1962698985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 S MAIN ST",
"address_2": "PSF MANAGEMENT SERVICES",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683835",
"telephone_number": "714-532-8649",
"fax_number": "714-532-8374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 ATLANTIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908061701",
"telephone_number": "562-933-8007",
"fax_number": "562-933-8606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLEY CALDERWOOD, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-24",
"last_updated": "2008-01-14",
"status": "A",
"authorized_official_last_name": "CALDERWOOD",
"authorized_official_first_name": "STANLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-289-4511",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "CA",
"license": "A73264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A732640",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1538112149",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.