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DR. DAVID J STONE M.D.
NPI 1871566323
Pediatrics - Adolescent Medicine in Jackson, CA

Active since February 07, 2006PECOS Enrolled
100 MISSION BLVD, SUITE 2600, JACKSON, CA 95642(209) 257-1722(209) 257-1726 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. David J Stone M.d. NPPES

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

DR. DAVID J STONE M.D. (NPI 1871566323) is an individual adolescent medicine provider in Jackson, California, licensed in California (C33855) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871566323
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. DAVID J STONECredential: M.D.
Location Address100 MISSION BLVD, SUITE 2600Jackson, CA 95642-2536
Mailing Address10470 Old Placerville Rd, Suite 100Sacramento, CA 95827-2539 · (800) 470-0071
Phone(209) 257-1722
Fax(209) 257-1726
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJuly 29, 2015
✔ NPI 1871566323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in CA · C33855✔ Licensed in TX · J8382
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
100 MISSION BLVD, Jackson, CA 95642
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Other Identifiers 3

Medicaid135128009TX
Medicare UPINF86948CA
Medicare ID-Type Unspecified8B3985TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David J Stone M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show David Stone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Medical Foundation
42 mi
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • 3,056 clinicians in this Medicare group
NPI 1942524095 (916) 731-7857

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

Other Providers at the Same Location NPPES 13

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

APRIL MICHELLE BOITANO C.N.M, W.H.N.P
Advanced Practice Midwife
100 MISSION BLVD, SUITE 2800
JACKSON, CA 95642
Amador County (209) 257-0177
DENISE LACK N.P.
Nurse Practitioner
100 MISSION BLVD, SUITE 2600
JACKSON, CA 95642
Amador County (209) 257-1722
DR. AMY A. APPLETON M.D.
Pediatrics
100 MISSION BLVD, SUITE 2600
JACKSON, CA 95642
Amador County (209) 257-1722
SUTTER VALLEY HOSPITALS
Clinical Medical Laboratory
100 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7540
DR. AYE MYAT MOE M.D.
Pediatrics
100 MISSION BLVD, SUITE 2600
JACKSON, CA 95642
Amador County (209) 257-1725
COURTNEY PARKER PA-C
Physician Assistant
100 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 257-7615
DR. VIKRAM RAMKUMAR KUMAR M.D.
Pediatrics
100 MISSION BLVD, SUITE 2600
JACKSON, CA 95642
Amador County (209) 257-1722
MAUREEN PATRICIA MOONEY-MICHELS R.D., C.D.E.
Dietitian, Registered
100 MISSION BLVD, OUTPATIENT DIABETES EDUCATION PROGRAM
JACKSON, CA 95642
Amador County (209) 223-7448

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 David Stone's NPI number?

The NPI number for David Stone is 1871566323. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is David Stone located?

David Stone practices at 100 Mission Blvd Suite 2600, Jackson, CA 95642. The listed phone number is (209) 257-1722.

What is David Stone's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is David Stone enrolled in Medicare?

Yes. David Stone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Stone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Stone reassigns Medicare benefits to Sutter Medical Foundation (Sacramento, CA). The 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 David Stone'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 David Stone was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.