Healthcare Provider Details

I. General information

NPI: 1891744520
Provider Name (Legal Business Name): STANLEY J NAIDES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33072 SUNHARBOR
DANA POINT CA
92629-1846
US

IV. Provider business mailing address

33072 SUNHARBOR
DANA POINT CA
92629-1846
US

V. Phone/Fax

Practice location:
  • Phone: 949-282-9712
  • Fax:
Mailing address:
  • Phone: 949-282-9712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMD023098E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberG44992
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: