DR. BENJAMIN THOMAS STAFFORD M.D. NPI 1063502318

NPI Information

NPI: 1063502318
Provider Name: DR. BENJAMIN THOMAS STAFFORD, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
612 W DUARTE RD
SUITE 304
ARCADIA, CA
ZIP 91007
Phone: (626) 446-4461
Get Directions

DR. Benjamin Thomas Stafford, M.D. is a hematology and oncology internal medicine in Arcadia, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Benjamin Thomas Stafford, M.D. NPI is 1063502318. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

612 W DUARTE RD
SUITE 304
ARCADIA, CA
ZIP 91007-602
Phone: (626) 446-4461
Fax: (626) 445-0647

The NPI 1063502318 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	G19825	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A40766	MEDICARE UPIN	CALIFORNIA
2	G19825	OTHER	CALIFORNIA	STATE MEDICAL LICENSE NUM
3	YYY48961Y	OTHER	CALIFORNIA	BLUE SHIELD OF CALIF GR N
4	WG19825A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	RENDERING PHYSICIAN NUMBE
5	W2154	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP ID NUMBER
6	YYY48961Y	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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