Andrew Stacy, DO
NPI 1972030930 · Pediatrics Physician · Loma Linda, CA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrew Stacy, DO is a Pediatrics Physician provider in Loma Linda, CA (NPI 1972030930).
Provider details
- NPI number
- 1972030930
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- A17776 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 11234 Anderson StGme Office Westerly Suite 'C'Loma Linda, CA 92354-2804Phone: (909) 558-4174
- 250 S G StSan Bernardino, CA 92410-3320Phone: (909) 382-7100
- 12000 E 12 Mile RdWarren, MI 48093-3570Phone: (586) 573-5000
Registry dates
- Enumerated
- 2017-05-21
- Last updated
- 2023-09-27
- Certified
- 2023-03-23
Frequently asked questions
- What is Andrew Stacy's NPI number?
- Andrew Stacy's National Provider Identifier (NPI) is 1972030930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Stacy's specialty?
- Andrew Stacy is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Andrew Stacy located?
- Andrew Stacy's practice location on file with NPPES is 11234 Anderson St, Loma Linda, CA 92354-2804.
- What is Andrew Stacy's phone number?
- The practice phone number listed in the NPPES registry for Andrew Stacy is (909) 558-4174.
- Does Andrew Stacy accept Medicare?
- Andrew Stacy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrew Stacy's NPI active?
- Yes — Andrew Stacy's NPI (1972030930) is active in the NPPES registry as of the last update on 2023-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.