MISS STACIE KARENE TAYLOR (NPI# 1619454428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619454428 |
| Entity Type | Individual |
| Full Name | MISS STACIE KARENE TAYLOR |
| Credential | PA-C |
| Practice Address |
446 Alta Rd Ste 6100 San Diego CA 92158-0001 |
| Mailing Address |
405 Sanibelle Cir Unit 28 Chula Vista CA 91910-7546 |
| Practice Telephone | 6196716546 |
| Practice Fax Number | 6716716555 |
| Mailing Telephone | 6194054222 |
| Mailing Fax Number | 6196716555 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA14581 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2801 Meadow Lark Dr, San Diego, CA 921232709 | 8586944690 | 8586944768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033660287 | Stacie Taylor | Developmental Therapist | 1810 Ozarka College Dr, Mountain View, AR 72560-6455 | 2016-10-21 |
| 1508264615 | Stacie Taylor | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2014-12-05 |
| 1942303755 | Stacie L Taylor | Occupational Therapist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2006-09-07 |
| Street Address |
446 ALTA RD STE 6100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92158-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750418042 | Sonia Angelica Bahro | Counselor | 446 Alta Rd Ste 6100, San Diego, CA 92158-0001 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336982 | Adelita Jasso | Licensed Vocational Nurse | 446 Alta Rd # 300, San Diego, CA 92158-0001 | 2020-08-14 |
| 1093325516 | Rodolfo Prilla Locsin | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-10 |
| 1538779020 | Grace Lumenario Cecilio | Registered Nurse | George Bailey Detention Facility 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-09 |
| 1447860945 | Vanessa Pearl Arceo Rimando | Registered Nurse | George Bailey Detention Facility 446 Alta Rd Suite 5300, San Diego, CA 92158-0001 | 2020-08-09 |
| 1437423019 | Lin L Chen-peng | Pharmacist | 408 Alta Rd, San Diego, CA 92158-0001 | 2012-02-29 |
| 1407155401 | Stephanie Delphine Daniels | Pharmacist | 446 Alta Rd Ste 5400, Attn: Ihsc Pharmacy, San Diego, CA 92158-0001 | 2011-03-17 |
| 1255422754 | Bonnie Anne Saylor | Registered Nurse | 446 Alta Rd, Suite 500, San Diego, CA 92158-0001 | 2006-09-28 |
| 1154934156 | Jeremy A Costales | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-28 |
| 1346852837 | Francis Martin Orca Mase | Registered Nurse | 446 Alta Rd, San Diego, CA 92158-0001 | 2020-08-18 |
| 1427669167 | Ellen Ramones Lastrella | Registered Nurse | 446 Alta Rd Ste 5300, San Diego, CA 92158-0001 | 2020-08-16 |
| Find all providers in zip 92158 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528610870 | Josephine Hoa Ngoc Mai | Physician Assistant | 3050 Rue Dorleans Unit 291, San Diego, CA 92110-5904 | 2019-07-16 |
| 1962966309 | Tashina Jessica Kraintz | Physician Assistant | 10431 Caminito Alvarez, San Diego, CA 92126-5838 | 2019-01-30 |
| 1801314042 | Erika Dimitra Couris | Physician Assistant | 3969 Fourth Ave, #301, San Diego, CA 92103-9210 | 2017-09-08 |
| 1871859421 | Lisa Nakhleh Boyd | Physician Assistant | 2999 Health Center Drive, San Diego, CA 92123 | 2012-04-09 |
| 1760759104 | Brandon William Schroth | Physician Assistant | 357051 Nasni, Commander Naval Air Forces, San Diego, CA 92135-7051 | 2011-11-30 |
| 1891080750 | Jennifer K Nguyen | Physician Assistant | 1466 Mariposa Street, San Diego, CA 92114-3612 | 2011-06-17 |
| 1942510698 | Laurie Anne Reeves | Physician Assistant | 6367 Alvardo Ct., Suite #200, San Diego, CA 92120 | 2010-10-15 |
| 1568783108 | Monica Gable | Physician Assistant | 2929 Health Center Dr., San Diego, CA 92123-7741 | 2010-06-17 |
| 1932422698 | Debbie Lo Flores | Physician Assistant | 5030 Camino De La Siesta Ste 204, San Diego, CA 92108-3118 | 2010-03-10 |
| 1801125034 | Lindsey R Hayes | Physician Assistant | Quentin Roosevelt Blvd, Building 8, San Diego, CA 92135-7051 | 2009-12-17 |
| Find all providers in SAN DIEGO | ||||
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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.