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

Dr. Stacey Edwin Podkovik, DO

Individual provider Neurological Surgery Physician · NPI 1215463914

Dr. Stacey Edwin Podkovik, DO is a 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 California and Florida.

Years since qualifying
9
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
CA, FL
In the registry since
2017
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone: (323) 660-2450
Show map & directions

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)

Record details

NPI number1215463914
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 2, 2017
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 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

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