Stacy James Berrong (NPI# 1760407787, PAC ID# 4587634977) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760407787 |
| PAC ID by PECOS | 4587634977 |
| Professional Enrollment ID | I20040731000311 |
| Full Name | Stacy James Berrong |
| Organization Legal Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Address |
1207 Fairchild Ct Woodland CA 95695-4321 |
| Phone Number | 5306661631 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7810800661 |
| Number of Group Practice Members | 1116 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050127 | WOODLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1207 Fairchild Ct, Woodland, CA 95695-4321 | 5306661631 | DIGNITY HEALTH MEDICAL FOUNDATION |
| Organization Legal Name | DIGNITY HEALTH MEDICAL FOUNDATION |
| Physicians | 1191 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel E Temple | Family Medicine | Dignity Health Medical Foundation | 1779 Dominican Way, Suite B, Santa Cruz, CA 95065-1526 |
| Lei Wang | Rheumatology | Dignity Health Medical Foundation | 2081 Bronze Star Dr, Woodland, CA 95776-5423 |
| Guillermina Lexie Morales | Obstetrics/gynecology | Dignity Health Medical Foundation | 1321 Cottonwood St, Fl 3, Woodland, CA 95695-5131 |
| Thu Trang Le | Nurse Practitioner | Dignity Health Medical Foundation | 782 E Harding Way, Stockton, CA 95204-6101 |
| Shannon Lyn Manley | Nurse Practitioner | Dignity Health Medical Foundation | 3900 Piedmont Ave, Oakland, CA 94611-5352 |
| Etelberto Guzman | Clinical Social Worker | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Daniel James Greene | Urology | Dignity Health Medical Foundation | 1667 Dominican Way, Suite 234, Santa Cruz, CA 95065-1560 |
| Azadeh Toofaninejad | Cardiovascular Disease (cardiology) | Dignity Health Medical Foundation | 9394 Big Horn Blvd, Elk Grove, CA 95758-7977 |
| Kathleen C Hilton | Nurse Practitioner | Dignity Health Medical Foundation | 13350 Big Basin Way, Boulder Creek, CA 95006-9237 |
| Ibrahim W Azer | General Surgery | Dignity Health Medical Foundation | 315 Mercy Ave, Suite 400, Merced, CA 95340-8368 |
| Street Address |
1207 FAIRCHILD CT |
| City | WOODLAND |
| State | CA |
| Zip | 95695-4321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Etelberto Guzman | Clinical Social Worker | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Sarah E Telles | Psychiatry | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Claudia Alvarez Solorio | Clinical Social Worker | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Jonathan D Funk | Psychiatry | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Sonia Mann | Psychologist, Clinical | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Clara Cazares | Clinical Social Worker | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Amy Ruth Glick | Psychiatry | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Amy L Ledgerwood | Psychiatry | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Stuart Linne | Internal Medicine | Dignity Health Medical Foundation | 1207 Fairchild Ct, Woodland, CA 95695-4321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika M Roshanravan | Family Medicine | Communicare Health Centers | 215 W Beamer St, Woodland, CA 95695-2510 |
| Isabel Edge | Family Medicine | Communicare Health Centers | 215 W Beamer St, Woodland, CA 95695-2510 |
| Betzabel Kunkel | Family Medicine | Communicare Health Centers | 215 W Beamer St, Woodland, CA 95695-2510 |
| Jason Auriemma | Family Medicine | Communicare Health Centers | 215 W Beamer St, Woodland, CA 95695-2510 |
| Jeffrey P Robinson | Chiropractic | 145 W Main St, Woodland, CA 95695-2914 | |
| Erik Tootell | Psychologist, Clinical | 285 W Court St, Suite 202, Woodland, CA 95695-2977 | |
| James W Newell | Chiropractic | 3 Court St, Woodland, CA 95695-3111 | |
| Lisa M Heuer | Optometry | 316 Walnut St, Woodland, CA 95695-3141 | |
| Brandy Liebscher | Psychologist, Clinical | 163 2nd St, Woodland, CA 95695-3316 | |
| Rajdeep V Ranade | Psychiatry | Mark David Levine Md Psychiatrists Professional Corporation | 1100 Main St, Suite 265, Woodland, CA 95695-3524 |
| Find all physicians in zip 95695 | |||
| City | WOODLAND |
| Zip Code | 95695 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WOODLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Stacy James Berrong.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.