STACY MA MD
NPI 1871174680
Pediatrics in Marina Del Rey, CA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacy Ma Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Stacy Ma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
North Hollywood, CA 91605
- Reassigned Medicare billing, California enrollment
- 52 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Stacy Ma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Ma reassigns Medicare benefits to 3 organizations: The Regents Of The University Of California (Los Angeles, CA), Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA) and Valley Community Healthcare (North Hollywood, CA). Each 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 Stacy Ma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Stacy Ma, MD · NPI 1871174680
Pediatrics physician in Marina Del Rey, California. Individual provider, active in the CMS NPPES registry since April 14, 2021.
## Identity
- **NPI:** 1871174680 (Entity type: Individual)
- **Enumerated:** April 14, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** A193432 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 13160 MINDANAO WAY STE 315, Marina Del Rey, CA 90292-7907
- **Phone:** (310) 301-6310 · **Fax:** (310) 301-6315
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA); Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA); Valley Community Healthcare (NPI 1588740989, North Hollywood, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1871174680) · Data from the CMS NPPES public registry.