Search › California › Specialist
Theodore Staahl, M.D
NPI 1295896041 · on the registry since 2006 · sole proprietor
Federal exclusion record
The HHS Office of Inspector General publishes a list of individuals and entities excluded from Medicare, Medicaid and other federal health programs. A record on that list carries this NPI.
- Reason
- Licence revoked, suspended or surrendered
- Authority
- Section 1128b4 · permissive · until licence restored
- Excluded
- 2026-01-20
- Recorded as
- Plastic Surgery
Matched on NPI alone. OIG asks that any match be confirmed by Social Security or Employer Identification Number, neither of which appears in the public file, so treat this as something to verify rather than something established. Verify at OIG. Our copy of the list is from 2026-09-15. Reinstated parties are removed from each new release, so a person cleared since then may still appear here.
Practice
- Address
- 1329 Spanos Ct Ste A-1
Modesto, CA 95355 - Phone
- (209) 577-5700
- Fax
- (209) 577-5968
- Organisation at this address
- Bradley Smith Md Pc
Theodore E. Staahl Md Inc
Drew H. Logue, M.D., Inc.
Antonio K Coirin M.D. Inc.
Reach Air Medical Services LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California