EDWARD JOSEPH STANFORD MD NPI 1326094715

NPI Information

NPI: 1326094715
Provider Name: EDWARD JOSEPH STANFORD, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
1262 E NORTH ST
MANTECA, CA
ZIP 95336
Phone: (209) 823-7646
Get Directions

Edward Joseph Stanford, MD is a gynecology obstetrics gynecology in Manteca, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Edward Joseph Stanford, MD NPI is 1326094715. 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:

1262 E NORTH ST
MANTECA, CA
ZIP 95336
Phone: (209) 823-7646
Fax: (209) 824-5374

The NPI 1326094715 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 5/26/2006 and was last updated on 3/25/2019.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	59064	CALIFORNIA	Yes
2	207VG0400X	Obstetrics & Gynecology	Gynecology	036080278	ILLINOIS	No
3	208600000X	Surgery		036080278	ILLINOIS	No

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	036080278	MEDICAID	ILLINOIS
2	212529	OTHER	ILLINOIS	GROUP MEDICARE #

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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