EDWARD JOSEPH STANFORD MD NPI 1326094715

NPI Information

  • NPI: 1326094715
  • Provider Name: EDWARD JOSEPH STANFORD, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1262 E NORTH ST
    MANTECA, CA
    ZIP 95336
  • Phone: (209) 823-7646

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NPI Details

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
1207VG0400XObstetrics & GynecologyGynecology59064CALIFORNIAYes
2207VG0400XObstetrics & GynecologyGynecology036080278ILLINOISNo
3208600000XSurgery036080278ILLINOISNo

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
1036080278MEDICAIDILLINOIS
2212529OTHERILLINOISGROUP 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: 3/30/2025

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