MRS. STEPHANIE LOVETT MAHAN (NPI# 1497093306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497093306 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE LOVETT MAHAN |
| Credential | PA-C |
| Practice Address |
2081 Bronze Star Dr Woodland CA 95776-5423 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 5306682600 |
| Practice Fax Number | 5306611067 |
| Mailing Telephone | 9163792861 |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2016-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
22775 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598289738 | Stephanie Lauren Mahan | Chiropractor | 8190 Barker Cypress Rd Ste 2000, Cypress, TX 77433-2766 | 2017-07-31 |
| 1588071690 | Stephanie Ann Mahan | Nurse Practitioner | 301 Cimarron Dr, Floresville, TX 78114-4503 | 2014-07-21 |
| Street Address |
2081 BRONZE STAR DR |
| City | WOODLAND |
| State | CA |
| Zip Code | 95776-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629428 | Kristin Diane Rickelman | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2005-09-14 |
| 1821574625 | Editha C Setiawan | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2018-07-14 |
| 1801380803 | Gurpreet Kaur Malhi | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2018-06-21 |
| 1497283212 | Hillary Williams | Nurse Practitioner | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2017-05-24 |
| 1073046124 | Adriana Santana | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2017-04-05 |
| 1033661897 | Ofili Okolonwamu | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2016-10-27 |
| 1639550122 | My Dungthi Pham | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2015-06-10 |
| 1376958173 | Janet A Hill | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2014-07-01 |
| 1144632951 | Behnam Vahdati Nia | Family Medicine | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2014-05-28 |
| 1750792149 | Iris M Villanueva | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2014-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265736102 | Kristin Mae Davey | Physical Therapist | 1423 Roosevelt Drive, Woodland, CA 95776 | 2011-01-07 |
| 1669784484 | Suzan Jane Motooka | Licensed Vocational Nurse | 991 Hoppin Ct, Woodland, CA 95776 | 2010-07-09 |
| 1104157478 | Gill and Ghazal Dental Corporation | Dentist | 2041 Bronze Star Drive Suite 100, Woodland, CA 95776 | 2010-01-26 |
| 1962640284 | Amber Christine Mitchell | Behavioral Analyst | 2100 5th St., Davis, CA 95776 | 2009-01-23 |
| 1730348764 | Woodland Residential Services | Nursing Facility/Intermediate Care Facility | 40145 Best Ranch Road, Woodland, CA 95776 | 2008-06-05 |
| 1376716845 | Steven William Thomson | Dentist | 825 East St #121, Woodland, CA 95776 | 2008-04-07 |
| 1902081714 | Costco Wholesale Corporation | Pharmacy | 2299 Bronze Star Dr, Woodland, CA 95776 | 2007-12-31 |
| 1609095322 | Woodland Hearing Aid Services Inc | Specialist | 1837 E Gibson Rd Suite K, Woodland, CA 95776 | 2007-04-24 |
| 1114099157 | Kali Javon Leonard | Optometrist | 421 B Pioneer Ave, Woodland, CA 95776 | 2006-11-14 |
| 1609271485 | Victoria Leigh Aphailee | Registered Nurse | 1975 Maxwell Ave, Apt# C114, Woodland, CA 95776 | 2014-10-23 |
| Find all providers in zip 95776 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457430365 | Kehli Ayn Mccaskill | Physician Assistant | 1522 Saratoga Dr, Woodland, CA 95695-5027 | 2006-11-02 |
| 1932502440 | Darryl James Turner | Physician Assistant | 1325 Cottonwood St, Woodland, CA 95695-5131 | 2014-09-29 |
| 1285987909 | Richard Carl Gilgut | Physician Assistant | 1325 Cottonwood St, Woodland, CA 95695-5131 | 2012-10-18 |
| 1548405897 | Claudia Alejandra Santana | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2008-12-15 |
| 1477705564 | Beth Wheeler | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695-5169 | 2008-10-21 |
| 1649381963 | Kerri Lynn Sherard | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2006-08-31 |
| 1649290479 | William Caypless | Physician Assistant | 76 County Road 64, Suite 3, Woodland, AL 36280-5209 | 2006-07-21 |
| 1639199516 | Sherrie J Conrad | Physician Assistant | 515 Fairchild Ct, Woodland, CA 95695-5164 | 2006-07-20 |
| 1437178530 | Maria Josi Santana | Physician Assistant | 2081 Bronze Star Dr, Woodland, CA 95776-5423 | 2006-07-19 |
| 1962420869 | Troy G Fajerson | Physician Assistant | 632 W Gibson Rd, Woodland, CA 95695 | 2006-07-18 |
| Find all providers in WOODLAND | ||||
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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.