HALEY STAUBER – Neurological Surgery Physician, NPI 1154962066

HALEY STAUBER is a healthcare provider. based in Fullerton, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. 59114 (CA). The NPI Number for HALEY STAUBER is 1154962066

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
HALEY STAUBER
NPI
1154962066
Phone
(714) 449-7400
Address
2575 YORBA LINDA BLVD
Enumeration Date
2 October 2019
Last Update Date
8 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7146344567
Graduation Year
2020 (6 years ago)
PAC ID
7214343482
Group Practice PAC ID
5395631931
Professional Enrollment ID
I20210312001335
Address ID
CA926183705IR16300AVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for HALEY STAUBER

  • Yorba Linda Boulevard, Fullerton, Orange County, California, 92834, United States

    FULLERTON, CA 928311615

    Phone: (714) 449-7400

    Type: Location

  • 2575 Yorba Linda Blvd

    Fullerton, CA 928311615

    Phone: (714) 449-7400

    Type: Location

  • 23961 CALLE DE LA MAGDALENA STE 405

    LAGUNA HILLS, CA 926533683

    Phone: (949) 588-5800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $3,989.

Total Amount is formed as General ($3,989) + Research ($0) + Ownership ($0) = $3,989.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Carlsmed, Inc. ($1,461).

Total Amount

$3,989

General + Research + Ownership

Payments

50

Total payment records

General Amount

$3,989

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-03-12

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
I20210312001335IPhysician AssistantCATBD

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
22614Fusion of additional segment of spine10429$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment8132$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion4520$0
22216Incision or removal of spine bone segment, each additional segment4020$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment3131$0
View full utilization report →

Insurance plans in this area (ZIP 92831)

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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: 5395631931View full group profile
NameSpecialtyState
N E U R O S U R G E R YCA
Interventional Pain Management, AnesthesiologyCA
Physician AssistantCA
Physician AssistantCA
Orthopedic SurgeryCA
Orthopedic SurgeryCA
Orthopedic SurgeryCA
Hand SurgeryCA
Orthopedic SurgeryCA
-CA

Reviews

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Frequently asked questions

How is HALEY STAUBER identified in CMS data?
CMS-hosted NPPES data lists HALEY STAUBER with NPI 1154962066.
Does CMS list HALEY STAUBER as active?
Yes — HALEY STAUBER is active in the NPI listing used on this page.
What is HALEY STAUBER best known for clinically?
Directory data describes HALEY STAUBER with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is HALEY STAUBER based?
HALEY STAUBER is tied to Fullerton, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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