Healthcare Provider Details

I. General information

NPI: 1528281607
Provider Name (Legal Business Name): STANTON S KREMSKY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10102 BEVERLY DR
HUNTINGTON BEACH CA
92646-5415
US

IV. Provider business mailing address

10102 BEVERLY DR
HUNTINGTON BEACH CA
92646-5415
US

V. Phone/Fax

Practice location:
  • Phone: 714-316-8847
  • Fax:
Mailing address:
  • Phone: 714-316-8847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberG47581
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME174210
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: