EDWARD JOSEPH STANFORD MD - NPI 1326094715 - Obstetrics & Gynecology in Manteca, CA

Q: What is Edward Stanford's NPI number?

The NPI number for Edward Stanford is 1326094715. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is Edward Stanford's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Q: When was this NPI record last updated?

The NPPES record for Edward Stanford was last updated on March 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Edward Joseph Stanford Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD JOSEPH STANFORD MD (NPI 1326094715) is an individual gynecology provider in Manteca, California, licensed in California (59064) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Centralia.

NPPES Registry Identity

NPI1326094715

Entity TypeIndividualMale

Primary Taxonomy207VG0400X

Provider Legal NameEDWARD JOSEPH STANFORDCredential: MD

Location Address1262 E NORTH STManteca, CA 95336

Mailing Address1262 E North StManteca, CA 95336-4962 · (209) 823-7646 · Fax (209) 824-5374

Phone(209) 823-7646

Fax(209) 824-5374

Sole ProprietorNo

Enumeration DateMay 26, 2006

Last NPPES UpdateMarch 25, 2019

✔ NPI 1326094715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

Licenses✔ Licensed in CA · 59064✔ Licensed in IL · 036080278

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License 036080278 (IL)

1262 E NORTH ST, Manteca, CA 95336

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Secondary Practice Location 1

Location 1208 E 3rd StCentralia, IL 62801-3902 · Phone (618) 532-7891 · Fax (618) 532-7923

Other Identifiers 2

Medicaid036080278IL

Other212529IL · Group Medicare #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Joseph Stanford Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREATER MODESTO MEDICAL SURGICAL ASSOCIATES, INC.

Orthopaedic Surgery

1262 E NORTH ST, SUITE B
MANTECA, CA 95336

San Joaquin County (209) 214-7053

DR. TERRY LEE CROASDALE M.D.

Internal Medicine