NICHOLAS STANZIONE (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1124480116

NICHOLAS STANZIONE (M.D.) is a healthcare provider. based in Los angeles, California. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. A154718 (CA). The NPI Number for NICHOLAS STANZIONE (M.D.) is 1124480116

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS STANZIONE (M.D.)
NPI
1124480116
Phone
(310) 301-2000
Address
5767 W CENTURY BLVD STE 400
Enumeration Date
28 March 2016
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3102672680
Graduation Year
2016 (10 years ago)
PAC ID
7416351200
Group Practice PAC ID
5597679233
Professional Enrollment ID
I20210731000390
Address ID
CA913254105NO18300BLVD300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,584 PATHOLOGY in CA

Provider Addresses for NICHOLAS STANZIONE (M.D.)

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone: (310) 301-2000

    Type: Mailing

  • 2155 S Bascom Ave Ste 120

    Campbell, CA 950083200

    Phone: (408) 866-5227

    Type: Location

  • Ronald Reagan UCLA Medical Center, 757, Westwood Plaza, Westwood, Los Angeles, Los Angeles County, California, 90095, United States

    LOS ANGELES, CA 900957419

    Phone:

    Type: Mailing

  • 10833 LE CONTE AVE

    AS-370 CHS

    LOS ANGELES, CA 900953075

    Phone: (310) 267-2680

    Fax: (310) 267-2685

    Type: Location

  • 2155 S BASCOM AVE STE 120

    CAMPBELL, CA 950083200

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210731000390IPathologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity394193$0
88341Special stained specimen slides to examine tissue, each additional procedure18644$0
88342Special stained specimen slides to examine tissue, initial procedure7562$0
88360Microscopic genetic analysis of tumor, manual6222$0
88173Evaluation of fine needle aspirate with interpretation and report3120$0
View full utilization report →

Insurance plans in this area (ZIP 90045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597679233View full group profile
NameSpecialtyState
-CA
P A T H O L O G YWA
P A T H O L O G YCA
P A T H O L O G YND
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA

Reviews

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Frequently asked questions

What unique ID ties claims to NICHOLAS STANZIONE (M.D.)?
NPI 1124480116 is assigned to NICHOLAS STANZIONE (M.D.) under the national enumeration system.
Is NICHOLAS STANZIONE (M.D.)'s NPI currently valid?
The extract we use shows NICHOLAS STANZIONE (M.D.) as active.
What does NICHOLAS STANZIONE (M.D.) treat or focus on?
Patients typically see NICHOLAS STANZIONE (M.D.) under the specialty Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does NICHOLAS STANZIONE (M.D.) practice in California?
You will see Los Angeles, California on file for NICHOLAS STANZIONE (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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