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STACY LEIGH WANEKA MD PC
NPI 1811622624
Family Medicine in Westlake Village, CA

Active since July 18, 2022
2475 TOWNSGATE RD STE 200, WESTLAKE VILLAGE, CA 91361(818) 338-2540(818) 338-1498 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2024, Jul 18, 2022 (2 updates tracked since 2022).

About Stacy Leigh Waneka Md Pc NPPES

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

STACY LEIGH WANEKA MD PC (NPI 1811622624) is a healthcare organization registered as a family medicine in Westlake Village, California and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Thousand Oaks and lists Stacy Waneka, President, as its authorized official.

NPPES Registry Identity

NPI1811622624
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTACY LEIGH WANEKA MD PC
Location Address2475 TOWNSGATE RD STE 200Westlake Village, CA 91361-5995
Mailing Address5340 Las Virgenes Rd Apt 7Calabasas, CA 91302-2693 · (310) 270-3800
Phone(818) 338-2540
Fax(818) 338-1498
Organization SubpartNo
Authorized OfficialStacy WanekaPresident · (310) 270-3800
Enumeration DateJuly 18, 2022
Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration
NPPES CertifiedAugust 19, 2024
✔ NPI 1811622624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2475 TOWNSGATE RD STE 200, Westlake Village, CA 91361
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Secondary Practice Location 1

Location 177 Rolling Oaks Dr Ste 303Thousand Oaks, CA 91361-1007 · Phone (310) 270-3800

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Leigh Waneka Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Stacy Leigh Waneka MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stacy Waneka, MD
Family Practice
NPI 1871557546
2475 TOWNSGATE RD STE 200
Westlake Village, CA 91361
(818) 338-2540
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stacy Leigh Waneka MD PC's NPI number?

The NPI number for Stacy Leigh Waneka MD PC is 1811622624. It was assigned to this organization in the NPPES registry on July 18, 2022.

Where is Stacy Leigh Waneka MD PC located?

Stacy Leigh Waneka MD PC is located at 2475 Townsgate Rd Ste 200, Westlake Village, CA 91361. The listed phone number is (818) 338-2540.

What is Stacy Leigh Waneka MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stacy Leigh Waneka MD PC enrolled in Medicare?

Yes. Stacy Leigh Waneka MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stacy Leigh Waneka MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Stacy Leigh Waneka MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Leigh Waneka MD PC was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.