BETH STALLMAN M.D.
NPI 1245642016
Student in an Organized Health Care Education/Training Program in Stockton, CA
About Beth Stallman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETH STALLMAN M.D. (NPI 1245642016) is an individual student in an organized health care education/training program in Stockton, California, licensed in Michigan (4301105470) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Beth Stallman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Beth Stallman's NPI number?
The NPI number for Beth Stallman is 1245642016. It was assigned to this individual provider in the NPPES registry on May 28, 2014.
Where is Beth Stallman located?
Beth Stallman practices at 7373 West Ln, Stockton, CA 95210. The listed phone number is (209) 476-2000.
What is Beth Stallman's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Beth Stallman enrolled in Medicare?
Yes. Beth Stallman is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Beth Stallman was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Beth Stallman, M.D. · NPI 1245642016
Student in an Organized Health Care Education/Training Program provider in Stockton, California. Individual provider, active in the CMS NPPES registry since May 28, 2014.
## Identity
- **NPI:** 1245642016 (Entity type: Individual)
- **Enumerated:** May 28, 2014
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4301105470 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 7373 WEST LN, Stockton, CA 95210-3377
- **Phone:** (209) 476-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1245642016) · Data from the CMS NPPES public registry.