STEPHANIE WYCKOFF (NPI# 1679659080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679659080 |
| Entity Type | Individual |
| Full Name | STEPHANIE WYCKOFF |
| Practice Address |
18035 Brookhurst Street Suite 2100 Fountain Valley CA 92708 |
| Mailing Address |
17360 Brookhurst St Attn: Credentialing Department Fountain Valley CA 92708-3720 |
| Practice Telephone | 6572419090 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
A69149 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A691490 | 05 |
| Street Address |
18035 BROOKHURST STREET SUITE 2100 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822535 | Ihong Chen | Internal Medicine | 18035 Brookhurst Street, Suite 2100, Fountain Valley, CA 92708 | 2005-06-21 |
| 1750519880 | Yen Hoang Tran | Obstetrics & Gynecology | 18035 Brookhurst Street, Suite 2100, Fountain Valley, CA 92708 | 2009-06-26 |
| 1356587042 | Denise Gastelum Castellanos | Midwife | 18035 Brookhurst Street, Suite 2100, Fountain Valley, CA 92708 | 2008-12-30 |
| 1437347937 | Corry Ann Varner | Advanced Practice Midwife | 18035 Brookhurst Street, Ste 2100, Fountain Valley, CA 92708 | 2007-10-09 |
| 1972631786 | Gerardo Bustillo | Specialist | 18035 Brookhurst Street, Suite 2100, Fountain Valley, CA 92708 | 2007-03-01 |
| 1063597219 | Lynn C. Hansen | Midwife | 18035 Brookhurst Street, Ste 2100, Fountain Valley, CA 92708 | 2006-10-26 |
| 1518967330 | G. Thomas Ruiz | Obstetrics & Gynecology | 18035 Brookhurst Street, Suite 2100, Fountain Valley, CA 92708 | 2005-07-22 |
| 1851398002 | Annette Louise Mcconnaughey | Midwife | 18035 Brookhurst Street, Suite 2100, Fountain Valley, CA 92708 | 2005-07-01 |
| 1578560884 | Lalita M. Komanapalli | Internal Medicine | 18035 Brookhurst Street, Suite 2100, Fountain Valley, CA 92708 | 2005-06-30 |
| 1760488126 | Patricia A. Evans | Midwife | 18035 Brookhurst Street, Ste 2100, Fountain Valley, CA 92708 | 2005-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699827162 | Stacy Ann Henigsman | Obstetrics & Gynecology | 18111 Brookhurst St Ste 5400, Fountain Valley, CA 92708-6728 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757705 | Michelle Uaje, Md PC | Obstetrics & Gynecology | 21810 Heatheridge Dr, Yorba Linda, CA 92887-2612 | 2020-10-09 |
| 1811559560 | Ob Hospitalists of Orange County Inc | Obstetrics & Gynecology | 1310 W Stewart Dr Ste 307, Orange, CA 92868-3838 | 2019-07-02 |
| 1912563735 | Sarah Lavonne Miller | Obstetrics & Gynecology | 144 N Kenmore Ave Apt 1, Los Angeles, CA 90004-6274 | 2019-05-16 |
| 1174007421 | Amal A Malek | Obstetrics & Gynecology | 47 Seabrook Cv, Newport Beach, CA 92660-6232 | 2018-09-22 |
| 1093223901 | Daniel M. Villarosa, M.d., A Professional Corporation | Obstetrics & Gynecology | 18064 Wika Rd Ste 102, Apple Valley, CA 92307-2182 | 2018-01-12 |
| 1316455363 | Yasharpour Medical Doctor, Inc., A Professional Medical Corporation | Obstetrics & Gynecology | 7400 Van Nuys Blvd Ste 120, Van Nuys, CA 91405-1972 | 2018-01-11 |
| 1821503863 | Healthcare Solutions Usa, Inc. | Obstetrics & Gynecology | 16253 Laguna Canyon Rd Ste 100, Irvine, CA 92618-3610 | 2017-12-13 |
| 1588176572 | Haiping Wang, M.d. | Obstetrics & Gynecology | 123 N Garfield Ave Ste D, Alhambra, CA 91801-3564 | 2017-10-30 |
| 1467977637 | Richard Norman Christie | Obstetrics & Gynecology | 501 Washington St Ste 725, San Diego, CA 92103-2241 | 2017-08-09 |
| 1386170355 | Andrew Peter Lin Md A Professional Medical Corporation | Obstetrics & Gynecology | 30 Via Milpitas, Carmel Valley, CA 93924-9630 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.