JERALD R STAFFORD MD INC
NPI 1366480790
Internal Medicine - Critical Care Medicine in Laguna Hills, CA

Active since June 04, 2006
24411 HEALTH CENTER DR, SUITE 560, LAGUNA HILLS, CA 92653(949) 458-1223(949) 588-7572 Get Directions Write a Review

NPPES record last updated: October 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerald R Stafford Md Inc NPPES

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

JERALD R STAFFORD MD INC (NPI 1366480790) is a healthcare organization registered as a critical care medicine in Laguna Hills, California and active in the NPI registry since June 2006. The organization lists Jerald Robert Stafford, President, as its authorized official.

NPPES Registry Identity

NPI1366480790
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameJERALD R STAFFORD MD INC
Location Address24411 HEALTH CENTER DR, SUITE 560Laguna Hills, CA 92653
Mailing Address24411 Health Center Dr, Suite 560Laguna Hills, CA 92653 · (949) 458-1223 · Fax (949) 588-7572
Fax(949) 588-7572
Organization SubpartNo
Authorized OfficialJerald Robert StaffordPresident · (949) 458-1223
Enumeration DateJune 4, 2006
Last NPPES UpdateOctober 12, 2007
NPI 1366480790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CA · A25139
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License A25139 (CA)
24411 HEALTH CENTER DR, Laguna Hills, CA 92653

Other Identifiers 4

Medicaid00A251390CA
Medicare UPINA24298
OtherW21073CA · Medicare Group Ptan
Medicare ID-Type UnspecifiedA25139CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

Family Medicine
24411 HEALTH CENTER DR, #510
LAGUNA HILLS, CA 92653
Licensed Practical Nurse
24411 HEALTH CENTER DR, SUITE 200
LAGUNA HILLS, CA 92653
Surgery (Vascular Surgery)
24411 HEALTH CENTER DR, SUITE 350
LAGUNA HILLS, CA 92653
Thoracic Surgery (Cardiothoracic Vascular Surgery)
24411 HEALTH CENTER DR, SUITE 680
LAGUNA HILLS, CA 92653
Physician Assistant (Surgical)
24411 HEALTH CENTER DR, STE 350
LAGUNA HILLS, CA 92653
Obstetrics & Gynecology
24411 HEALTH CENTER DR, SUITE 200
LAGUNA HILLS, CA 92653
Clinic/Center (Health Service)
24411 HEALTH CENTER DR, SUITE 530
LAGUNA HILLS, CA 92653
Obstetrics & Gynecology
24411 HEALTH CENTER DR, SUITE 640
LAGUNA HILLS, CA 92653

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 Jerald R Stafford MD Inc's NPI number?

The NPI number for Jerald R Stafford MD Inc is 1366480790. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Jerald R Stafford MD Inc located?

Jerald R Stafford MD Inc is located at 24411 Health Center Dr Suite 560, Laguna Hills, CA 92653. The listed phone number is (949) 458-1223.

What is Jerald R Stafford MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Jerald R Stafford MD Inc was last updated on October 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.