1942205240 NPI number — DR. STANLEY HARRISON FEIL M.D.

Table of content: DR. STANLEY HARRISON FEIL M.D. (NPI 1942205240)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942205240 NPI number — DR. STANLEY HARRISON FEIL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FEIL
Provider First Name:
STANLEY
Provider Middle Name:
HARRISON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942205240
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 N AKERS ST
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
VISALIA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93291-5121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-733-4372
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
112 N AKERS ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
VISALIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93291-5121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-733-4372
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  G84602 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207W00000X , with the licence number: 4301069854 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X , with the licence number: 358057-1205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00G846020 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4049916001 . This is a "CIGNA PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 10949635 . This is a "CAQH PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1679534614 . This is a "COURTYARD SURGERY PAVILION, INC (NPI)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 571233 . This is a "HEALTH NET PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: DB0436 . This is a "GROUP RAILROAD MEDICARE#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ03506Z . This is a "VISALIA EYE CENTER MEDICAL GROUP (MEDICARE #)" identifier . This identifiers is of the category "OTHER".
  • Identifier: ZZZ60030Z . This is a "BLUE SHIELD GROUP ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 358057-1205 . This is a "UTAH LICENSE NUMBER" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: P00084117 . This is a "RAILROAD MEDICARE PROV ID" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 1770527335 . This is a "VISALIA EYE CENTER MEDICAL GROUP (NPI)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4301069854 . This is a "MICHIGAN LICENSE NUMBER" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 5275845 . This is a "MULTIPLAN PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 73-1728125 . This is a "TAX IDENTIFICATION#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: G84602 . This is a "CALIFORNIA LICENSE NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: GR0101220 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 018407-0002 . This is a "PACIFICARE PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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