Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Staack, MD

Individual provider Urology Physician · NPI 1578705208

Andrea Staack, MD is an Urology in Los Angeles, California. Qualified in 1999, 27 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
27
Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

200 Medical Plz Ste #140
Los Angeles, CA 90095-0001
Phone: (310) 794-7700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence F5519 (CA)

Record details

NPI number1578705208
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2009
Last updated in NPPESMay 26, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Los Angeles