DR. STEPHANIE N MATEEV (NPI# 1144273467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144273467 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE N MATEEV |
| Credential | M.D. |
| Practice Address |
2315 Stockton Blvd Sacramento CA 95817-2201 |
| Mailing Address |
2516 Stockton Blvd Sacramento CA 95817-2208 |
| Practice Telephone | 9167342131 |
| Practice Fax Number | 9164562235 |
| Mailing Telephone | 9167342131 |
| Mailing Fax Number | 9164562235 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
A87827 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2315 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033113758 | Allan Douglas Siefkin | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2005-06-09 |
| 1467053371 | David Lee Wilson Jr. | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-11-06 |
| 1477154722 | Myleen Dumagan Romarate | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-11-03 |
| 1487252425 | Kristina Marie Hernandez | General Practice | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-10-12 |
| 1386251460 | David E Canubida | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-09-23 |
| 1467064436 | Jomelyn Francisco Esteron | Nurse Practitioner | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-20 |
| 1750991212 | Jasmeet Singh | Pharmacist | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-08 |
| 1942810858 | Allan Russell Martin | Neurological Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-08-05 |
| 1093323941 | Cheng Hsuan Chen | Registered Nurse | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-07-16 |
| 1225656432 | Jessica Stephanie Kim | Registered Nurse | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396796140 | Joanne Elizabeth Natale | Pediatrics | 2561 Stockton Blvd, Uc Davis Medical Center, Department O, Sacramento, CA 95817 | 2006-05-15 |
| 1245215557 | James Paul Marcin | Pediatrics | 2954 26th St, Sacramento, CA 95818-3512 | 2005-12-08 |
| 1558353151 | Azad Sheikh | Pediatrics | 5151 F St, Sacramento, CA 95819-3223 | 2005-08-19 |
| 1871585489 | Lehman Ernest Black IIi | Pediatrics | 5151 F St 6 North, Sacramento, CA 95819-3222 | 2005-08-19 |
| 1912999525 | Daniel Augustine Falco | Pediatrics | 5151 F Street 6 North, Sacramento, CA 95819-3222 | 2005-08-19 |
| 1861806036 | Alia Rachel Broman | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2014-06-16 |
| 1215270871 | Brian David Goudy | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2013-04-02 |
| 1043579501 | Nhat Minh Pham | Pediatrics | 2825 Capitol Ave, Sacramento, CA 95816 | 2012-05-03 |
| 1316238561 | Michelle Jane Lim | Pediatrics | 2516 Stockton Blvd, Sacramento, CA 95817-2208 | 2011-04-22 |
| 1982925368 | Blair R. L. Colwell | Pediatrics | 2315 Stockton Blvd, Dept. of Pediatrics, Ucdmc, Sacramento, CA 95817-2201 | 2010-06-19 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.