DR. STANLEY SPENCER OLENICK (NPI# 1942342001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942342001 |
| Entity Type | Individual |
| Full Name | DR. STANLEY SPENCER OLENICK |
| Credential | MD |
| Practice Address |
790 East Willow St Suite 100 Long Beach CA 90806-2703 |
| Mailing Address |
790 E Willow St Suite 100 Long Beach CA 90806-2703 |
| Practice Telephone | 5624277486 |
| Practice Fax Number | 5625957262 |
| Mailing Telephone | 5624277486 |
| Mailing Fax Number | 5625957262 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C37717 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00C377170 | 01 |
| Street Address |
790 EAST WILLOW ST SUITE 100 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90806-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437624913 | Blanca C Gonzalez | Community Health Worker | 2600 Redondo Ave 6th Floor, Long Beach, CA 90806 | 2018-10-10 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1265946586 | California Sleep Neurology Organization for Wellness | Clinic/Center | 2651 Elm Avenue, Suite 205, Long Beach, CA 90806 | 2017-11-22 |
| 1053820613 | Magnolia Cedeno-moreno | Counselor | 2600 Redondo Ave. 3rd Fl, Long Beach, CA 90806 | 2017-09-27 |
| 1144747569 | Kimberly Savanannah Rodriguez | Social Worker | 2600 Redondo Ave., 6th Floor, Long Beach, CA 90806 | 2017-08-25 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1801334784 | Denise Harbor | Student in an Organized Health Care Education/Training Program | 721 East 28th Street, Suite 401, Long Beach, CA 90806 | 2017-02-10 |
| 1083152839 | Kim Vu | Student in an Organized Health Care Education/Training Program | 701 East 28th Street Ste. 416, Long Beach, CA 90806 | 2017-02-01 |
| 1568910719 | Andrea Corona | Community Health Worker | 850 W Wardlow Rd, Long Beach, CA 90806 | 2016-09-16 |
| 1235589110 | Sarah Keihany-yazdy | Nurse Practitioner | 2000 San Gabriel Ave, Long Beach, CA 90806 | 2016-06-21 |
| Find all providers in zip 90806 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083856975 | Laura Sech Mccracken | Obstetrics & Gynecology | 1347 Park Ave, Long Beach, CA 90804-3127 | 2009-03-24 |
| 1508049834 | Kenneth Nmn Farhang | Obstetrics & Gynecology | 831 Hillside Dr., Long Beach, CA 90815-4716 | 2007-12-10 |
| 1508045956 | Carsten S. Ronlov, M.d. Inc. | Obstetrics & Gynecology | 3325 Palo Verde Ave Ste 202, Long Beach, CA 90808-4132 | 2007-11-01 |
| 1306985445 | Essam Taymour | Obstetrics & Gynecology | 3550 Linden Ave Ste 1, Long Beach, CA 90807-4577 | 2007-02-05 |
| 1528104437 | Clifford A Hancock | Obstetrics & Gynecology | 2790 Atlantic Ave, Long Beach, CA 90806-2755 | 2007-01-29 |
| 1467544734 | Ruben Marmet | Obstetrics & Gynecology | 2777 Long Beach Blvd Ste 200, Long Beach, CA 90806-1513 | 2006-09-28 |
| 1568553188 | Soon Sohn | Obstetrics & Gynecology | 3050 E Airport Way, Long Beach, CA 90806-2404 | 2006-09-27 |
| 1376640086 | Magella Medical Group, Inc. | Obstetrics & Gynecology | 2888 Long Beach Blvd Ste 400, Long Beach, CA 90806-1553 | 2006-09-17 |
| 1780793604 | Neeraj Goswamy | Obstetrics & Gynecology | 111 Mitchell Ave, Long Beach, NY 11561-3819 | 2006-08-30 |
| 1134132343 | Sl Health Inc | Obstetrics & Gynecology | 2683 Pacific Ave, Suite A, Long Beach, CA 90806 | 2006-08-15 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90806 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.