Stacey Fine (NPI# 1881818755, PAC ID# 4789851213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1881818755 |
| PAC ID by PECOS | 4789851213 |
| Professional Enrollment ID | I20120124000275 |
| Full Name | Stacey Fine |
| Organization Legal Name | GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION |
| Address |
215 W Janss Rd Thousand Oaks CA 91360-1847 |
| Phone Number | 7027318394 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1999 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7012212475 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050549 | LOS ROBLES HOSPITAL & MEDICAL CENTER |
| 050236 | ADVENTIST HEALTH SIMI VALLEY |
| Address | Phone | Organization |
|---|---|---|
| 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 7027318394 | GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_039_overall | Screening for Osteoporosis for Women Aged 65-85 Years of Age | 100% | |
| MIPS_EC_048_overall | Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | |
| MIPS_EC_113_overall | Colorectal Cancer Screening | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalia Parker | Nurse Practitioner | Golden State Providers, A Medical Corporation | 7320 Woodlake Ave, Suite 110, West Hills, CA 91307-1494 |
| Kelly Reynolds | Critical Care (intensivists) | Golden State Providers, A Medical Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Ritbune Prakobkit | Critical Care (intensivists) | Golden State Providers, A Medical Corporation | 2425 Samaritan Dr, San Jose, CA 95124-3908 |
| John A Kuri | Orthopedic Surgery | Golden State Providers, A Medical Corporation | 4510 Brockton Ave, Suite 175, Riverside, CA 92501-4020 |
| Steven Andrew Brown | Orthopedic Surgery | Golden State Providers, A Medical Corporation | 4510 Brockton Ave, Suite 175, Riverside, CA 92501-4020 |
| Jeffrey M Dembner | Neurosurgery | Golden State Providers, A Medical Corporation | 225 N Jackson Ave, San Jose, CA 95116-1603 |
| Gregory P Fontana | Thoracic Surgery | Golden State Providers, A Medical Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Kelley C Mckenna | Nurse Practitioner | Golden State Providers, A Medical Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Catalin Nicola | Pulmonary Disease | Golden State Providers, A Medical Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Arun Sharma | Critical Care (intensivists) | Golden State Providers, A Medical Corporation | 2425 Samaritan Dr, San Jose, CA 95124-3908 |
| Street Address |
215 W JANSS RD |
| City | THOUSAND OAKS |
| State | CA |
| Zip | 91360-1847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Truong | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Catherine A Moses | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Rashita Aggarwal | Internal Medicine | Allure Medical Group A Professional Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Andrew Cannon | Anesthesiology | Conejo Los Robles Anesthesiology Medical Group, Inc | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Pejman Badiei | Internal Medicine | Allure Medical Group A Professional Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Barry D Klein | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Matthew P Beatty | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Anna N Stewart | Hospitalist | Hospitalist Medicine Physicians of California - Thousand Oaks, PC | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Jason C Lee | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Kelly Reynolds | Critical Care (intensivists) | Golden State Providers, A Medical Corporation | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald A Popper | Sleep Medicine | 2230 Lynn Rd, Suite 101, Thousand Oaks, CA 91360-1360 | |
| Mark D Suski | Plastic and Reconstructive Surgery | 227 W Janss Rd, Suite 205, Thousand Oaks, CA 91360-1827 | |
| William L Matzner | Internal Medicine | Orion Medical Group | 215 W Janns Rd, Thousand Oaks, CA 91360-1847 |
| Robert D Watson | Anesthesiology | Conejo Los Robles Anesthesiology Medical Group, Inc | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Eric J Broxham | Pathology | Glover, Kelty and Schultheis Mds | 215 W Janss Rd, Department of Pathology, Thousand Oaks, CA 91360-1847 |
| Joshua Segal | Pathology | Glover, Kelty and Schultheis Mds | 215 W Janss Rd, Department of Pathology, Thousand Oaks, CA 91360-1847 |
| Evelyn E Cardenas | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Aaron J Schein | Diagnostic Radiology | Los Robles Radiologic Associates | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Jordan Roberts | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Michael B Kirk | Emergency Medicine | Los Robles Emergency Physicians Medical Group | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 |
| Find all physicians in zip 91360 | |||
| City | THOUSAND OAKS |
| Zip Code | 91360 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | THOUSAND OAKS + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Stacey Fine.
| 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.