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STACY MA MD
NPI 1871174680
Pediatrics in Marina Del Rey, CA

Active since April 14, 2021PECOS Enrolled
13160 MINDANAO WAY STE 315, MARINA DEL REY, CA 90292(310) 301-6310(310) 301-6315 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Apr 14, 2021 (2 updates tracked since 2021).

About Stacy Ma Md NPPES

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

STACY MA MD (NPI 1871174680) is an individual pediatrics provider in Marina Del Rey, California, licensed in California (A193432) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1871174680
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSTACY MACredential: MD
Location Address13160 MINDANAO WAY STE 315Marina Del Rey, CA 90292-7907
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-5138
Phone(310) 301-6310
Fax(310) 301-6315
Sole ProprietorNo
Enumeration DateApril 14, 2021
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1871174680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A193432
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
13160 MINDANAO WAY STE 315, Marina Del Rey, CA 90292
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Secondary Practice Location 1

Location 14650 W Sunset Blvd # 68Los Angeles, CA 90027-6062 · Phone (323) 660-2450

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Ma 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 90292 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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 4

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

JULIA ISABELLE READING MD
Pediatrics
13160 MINDANAO WAY STE 315
MARINA DEL REY, CA 90292
Los Angeles County (310) 301-6310
DR. LEIAN CHEN MD
Pediatrics
13160 MINDANAO WAY STE 315
MARINA DEL REY, CA 90292
Los Angeles County (310) 301-6310
PRIYANKA SHARMA KOSARAJU
Pediatrics
13160 MINDANAO WAY STE 315
MARINA DEL REY, CA 90292
Los Angeles County (310) 301-6310
LISANDRA OCHOA MD
Pediatrics
13160 MINDANAO WAY STE 315
MARINA DEL REY, CA 90292
Los Angeles County (310) 301-6310

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 Ma's NPI number?

The NPI number for Stacy Ma is 1871174680. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Stacy Ma located?

Stacy Ma practices at 13160 Mindanao Way Ste 315, Marina Del Rey, CA 90292. The listed phone number is (310) 301-6310.

What is Stacy Ma's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Stacy Ma enrolled in Medicare?

Yes. Stacy Ma is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy Ma was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.