STACI E DUMAS (NPI# 1568493211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568493211 |
| Entity Type | Individual |
| Full Name | STACI E DUMAS |
| Credential | PA-C |
| Practice Address |
2100 Powell St Suite 900 Emeryville CA 94608-1826 |
| Practice Telephone | 5103502600 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2013-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004405 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8331654 | 05 | |
| WA | L&I | 0165296 | 01 |
| Street Address |
2100 POWELL ST SUITE 900 |
| City | EMERYVILLE |
| State | CA |
| Zip Code | 94608-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679552335 | Anne Ninita Knight | Nurse Practitioner | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2006-01-11 |
| 1205375151 | Kelly Denise Riney | Nurse Practitioner | 2100 Powell St, 900, Emeryville, CA 94608 | 2017-02-13 |
| 1902254758 | California Emergency Physicians Medical Group, A Professional Corporat | Skilled Nursing Facility | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2016-06-01 |
| 1689021131 | Ryan Hoang-khai Nguyen | Physician Assistant | 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 | 2016-05-14 |
| 1811355274 | Michael Brazelton | Physician Assistant | 2100 Powell St, Suite 920, Emeryville, CA 94608 | 2016-02-01 |
| 1952776353 | California Emergency Physicians Medical Group, A Professional Corp. | Assisted Living Facility | 2100 Powell St, Ste 900, Emeryville, CA 94608-1826 | 2015-12-10 |
| 1023419686 | Eugenia Brazal Magahis | Nurse Practitioner | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2014-09-12 |
| 1306245410 | Christopher R Williams | Physician Assistant | 2100 Powell St, Emeryville, CA 94608-1826 | 2014-08-14 |
| 1073925160 | Will Richard Blackmon IIi | Physician Assistant | 2100 Powell St, Suite 920, Emeryville, CA 94608-1826 | 2014-05-23 |
| 1962821629 | David Kohanchi | Anesthesiology | 2100 Powell St, Emeryville, CA 94608 | 2014-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1457853921 | Jimmy Yan | Behavior Technician | 5900 Hollis Street Suite X, Emeryville, CA 94608 | 2018-03-01 |
| 1609395961 | Bay Wellness | Durable Medical Equipment & Medical Supplies | 5715 Market St Ste #d, Oakland, CA 94608 | 2017-09-18 |
| 1871023630 | Philip Staley | Registered Nurse | 1890 Alcatraz Avenue, Berkeley, CA 94608 | 2017-06-14 |
| 1114379120 | Leah Jane Tapscott | Registered Nurse | 6121 Hollis St Ste 900, Emeryville, CA 94608 | 2016-07-01 |
| 1295122273 | Paramjit S Virk | Nurse Practitioner | 888 Stanford Ave., Oakland, CA 94608 | 2015-04-17 |
| 1295123453 | Sports Injury Medical Group | Preferred Provider Organization | 5900 Hollis St., Suite K, Emeryville, CA 94608 | 2014-12-22 |
| 1144630583 | Adeline Lopez | Social Worker | 925 Brockhurst St., Oakland, CA 94608 | 2014-05-07 |
| 1710201603 | Rachna Gurjeet Wadia | Pediatrics | 6121 Hollis St. Suite #2, Emeryville, CALIFORNIA 94608 | 2010-03-21 |
| 1184872285 | I 5 Medical Group, Inc. | Clinic/Center | 5915 B Hollis Street, Emeryville, CA 94608 | 2008-09-03 |
| Find all providers in zip 94608 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679907729 | Jennifer Leigh | Physician Assistant | 2100 Powell Street Ste 900, Emeryville, CA 94608-1803 | 2013-08-26 |
| 1447444732 | Amber Michelle Pohl | Physician Assistant | 2100 Powell St., Suite 920, Emeryville, CA 94608-1803 | 2007-08-30 |
| 1437541786 | Natalie Studley | Physician Assistant | 1333 Powell St, Suite A103, Emeryville, CA 94608-2598 | 2015-02-24 |
| 1700284783 | Dana Kwitnicki | Physician Assistant | 1333 Powell St Ste A103, Emeryville, CA 94608-2598 | 2014-12-08 |
| 1447696356 | Dina Elkady | Physician Assistant | 2100 Powell St Ste 920, Emeryville, CA 94608-1844 | 2013-05-18 |
| 1750685905 | Matthew S Cleveland | Physician Assistant | 2100 Powell St, Emeryville, CA 94608-1826 | 2011-01-03 |
| 1831415462 | Whitney Kathleen Woodward | Physician Assistant | 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 | 2010-04-07 |
| 1588839518 | Lori Michelle Petroff | Physician Assistant | 2100 Powell St Ste 900, Emeryville, CA 94608-1844 | 2008-04-30 |
| 1538348198 | Katlin A. Muscarello | Physician Assistant | 2100 Powell St, #920, Emeryville, CA 94608-1826 | 2007-10-31 |
| 1689755902 | Riddhi Patel | Physician Assistant | 1335 Stanford Ave, Emeryville, CA 94608-2536 | 2006-10-17 |
| Find all providers in EMERYVILLE | ||||
| City | EMERYVILLE |
| Zip Code | 94608 |
Please comment or provide details below to improve the information on STACI E DUMAS.
| 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.