Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Stacey Edwin Podkovik, DO

Individual provider Neurological Surgery Physician · NPI 1215463914

Dr. Stacey Edwin Podkovik, DO practises Neurosurgery in Los Angeles, California. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2017, 9 years ago. Practices as a sole proprietor and works from 5 locations. Licensed in Arizona, California, Florida and Missouri.

Years since qualifying
9
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
AZ, CA, FL, MO
In the registry since
2017
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone: (323) 660-2450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 9300 Valley Childrens Pl, Madera, CA 93636-8762 — (559) 353-6257
  • 26520 Cactus Ave, Moreno Valley, CA 92555-3927 — (951) 486-5914
  • 3100 Sw 62nd Ave, Miami, FL 33155-3009 — (800) 432-6837
  • 100 W Gore St Ste 403, Orlando, FL 32806-1049 — (321) 841-3050

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 20A16756 (CA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence OS20696 (FL)
Neurological Surgery Physician Taxonomy 207T00000X · Licence THDO00023 (AZ)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 2026038128 (MO)

Record details

NPI number1215463914
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 2, 2017
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $112 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Providence St Joseph Hospital Hospital · Eureka, CA

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