STACEY D. GAMBRELL HUNT (NPI# 1841362688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841362688 |
| Entity Type | Individual |
| Full Name | STACEY D. GAMBRELL HUNT |
| Other Name | STACEY DENISE GAMBRELL |
| Credential | MD |
| Practice Address |
320 Lennon Ln Walnut Creek CA 94598-2419 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 9259062000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | G69627 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629581731 | Stacey A Hunt | Occupational Therapy Assistant | 14441 Kedvale Ave, Midlothian, IL 60445-2716 | 2017-11-10 |
| 1700334034 | Stacey Hunt | Massage Therapist | 1890 S Wadsworth Blvd, Lakewood, CO 80232-6804 | 2016-09-15 |
| 1497812341 | Stacey L Hunt | Psychologist | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2007-01-02 |
| Street Address |
320 LENNON LN |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881661 | Ethan Matthew Kutzscher | Ophthalmology | 320 Lennon Ln, Walnut Creek, CA 94598 | 2005-06-16 |
| 1487141974 | Siobhan Mark | Speech-Language Pathologist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2018-04-19 |
| 1649701202 | Margaret Rubio | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1427589084 | Belinda Danielson | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1750812301 | Michael Sharp | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-24 |
| 1336670298 | Zhuo Li | Pharmacist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2017-03-22 |
| 1093269573 | Sean Anthony Robinson | Physical Therapist | 320 Lennon Ln, Shasta Bldg #4, Walnut Creek, CA 94598-2410 | 2016-08-12 |
| 1003294794 | Linda Marie Heckenlively | Speech-Language Pathologist | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2015-05-13 |
| 1215282207 | Lakshmi Sowjanya Mallela | Internal Medicine | 320 Lennon Ln, Walnut Creek, CA 94598-2419 | 2012-07-17 |
| 1942576384 | David Chien-yuan Kung | Optometrist | 320 Lennon Ln, Optometry, Walnut Creek, CA 94598-2419 | 2012-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225222128 | Christina Daria Fonseca | Dermatology | 320 Lennon Lane Kaiser Permanente Medical Group, Department of Dermatology, Walnut Creek, CA 94598 | 2007-09-04 |
| 1477650372 | Alexander Lewis IIi | Dermatology | 1820 San Miguel Dr, Walnut Creek, CA 94596 | 2006-09-20 |
| 1396789731 | Jay William Zimmerman | Dermatology | 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598-3335 | 2006-06-16 |
| 1124014741 | Min-wei Christine Lee | Dermatology | 370 N Wiget Ln, Ste 125, Walnut Creek, CA 94598-2546 | 2005-09-20 |
| 1023405727 | Grace Kim Sohn | Dermatology | 355 Lennon Ln Ste 255, Walnut Creek, CA 94598-2496 | 2015-04-20 |
| 1245644657 | Joy Makdisi | Dermatology | 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598-3335 | 2014-06-13 |
| 1407285240 | Golden State Dermatology, Inc. | Dermatology | 2255 Ygnacio Valley Rd Ste B1, Walnut Creek, CA 94598-3335 | 2013-11-02 |
| 1437491743 | Jerral S Seibert M D Inc | Dermatology | 1220 Rossmoor Pkwy, Walnut Creek, CA 94595-2501 | 2013-03-25 |
| 1790927655 | Daniel J. Wall M.d., Inc | Dermatology | 110 La Casa Via, Suite 205, Walnut Creek, CA 94598-3088 | 2009-03-24 |
| 1861672800 | Marvin L Engel Md Inc | Dermatology | 130 La Casa Via, Bldg 2 Suite 110, Walnut Creek, CA 94598-3045 | 2007-11-07 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
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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.