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NPI · 1972030930 · NPPES-sourced

Andrew Stacy DO

ActivePediatrics
NPI Number
1972030930
Type 1 · Individual
Taxonomy Code
208000000X
Contact
(909) 558-4174
License CA · A17776
Last Updated
About 2 years ago (Sep 2023)
Enumerated 2017-05-21
Primary practice addressCA · 92354-2804
11234 Anderson St, Gme Office Westerly Suite 'c'Loma Linda, CA 92354-2804
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About this NPIWhat this record shows.

NPI 1972030930 is registered to Andrew Stacy DO, a Pediatrics practising at 11234 Anderson St, Gme Office Westerly Suite 'c' in Loma Linda, California. Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21. Andrew Stacy DO has been enumerated in the National Provider Identifier (NPI) registry since 2017.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2017-05-21
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Andrew Stacy DO accepts. To confirm in-network status with your specific health plan, contact Andrew Stacy DO directly at (909) 558-4174.

Frequently asked

Yes. NPI 1972030930 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (909) 558-4174.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Andrew Stacy DO is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy208000000X
Last updated2023-09
Enumerated2017-05-21
StatusActive
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10 records · same addressOther providers at this location.

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Same specialtyOther Pediatrics providers in California.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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