Timothy J Stacy (NPI# 1457356479, PAC ID# 7214990308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1457356479 |
| PAC ID by PECOS | 7214990308 |
| Professional Enrollment ID | I20041109001174 |
| Full Name | Timothy J Stacy |
| Organization Legal Name | EPIC MEDICAL GROUP, INC |
| Address |
4940 Van Nuys Blvd Suite 200 Sherman Oaks CA 91403-1741 |
| Phone Number | 8185281260 |
| Gender | M |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385883958 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050755 | SHERMAN OAKS HOSPITAL |
| 050158 | ENCINO HOSPITAL MEDICAL CENTER |
| 050677 | KAISER FOUNDATION HOSPITAL - WOODLAND HILLS |
| Address | Phone | Organization |
|---|---|---|
| 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 | 8185281260 | EPIC MEDICAL GROUP, INC |
| Organization Legal Name | EPIC MEDICAL GROUP, INC |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edmond V Derderyan | Internal Medicine | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Christopher G Negrete | Nurse Practitioner | Epic Medical Group, Inc | 4955 Van Nuys Blvd, Suite 308, Sherman Oaks, CA 91403-1811 |
| Oleg Liakhovetski | Emergency Medicine | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Tammi L Harris | Nurse Practitioner | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Cheryl R Catalan | Nurse Practitioner | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Lauren Wilstein | Nurse Practitioner | Epic Medical Group, Inc | 4955 Van Nuys Blvd, Suite 308, Sherman Oaks, CA 91403-1811 |
| Keino A Rutherford | Internal Medicine | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Jeffrey J Crudo | Hospitalist | Epic Medical Group, Inc | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Janet Bakalian | Nurse Practitioner | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Fernando D Palacios | Emergency Medicine | Epic Medical Group, Inc | 5451 Walnut Ave, Chino, CA 91710-2609 |
| Street Address |
4940 VAN NUYS BLVD SUITE 200 |
| City | SHERMAN OAKS |
| State | CA |
| Zip | 91403-1741 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edmond V Derderyan | Internal Medicine | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Sujie Tang | Hematology/oncology | 4940 Van Nuys Blvd, Suite 207, Sherman Oaks, CA 91403-1700 | |
| Oleg Liakhovetski | Emergency Medicine | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Parvin A Mirabadi | Obstetrics/gynecology | 4940 Van Nuys Blvd, Suite 100, Sherman Oaks, CA 91403-1737 | |
| Tammi L Harris | Nurse Practitioner | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Cheryl R Catalan | Nurse Practitioner | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Lorraine A Watson | Physician Assistant | Aids Healthcare Foundation | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Gerald Robert Hamwi | Family Medicine | Aids Healthcare Foundation | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Keino A Rutherford | Internal Medicine | Epic Medical Group, Inc | 4940 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1741 |
| Mehras Akhavan | Physical Medicine and Rehabilitation | 4940 Van Nuys Blvd, Suite 105, Sherman Oaks, CA 91403-1742 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Schwartz | Chiropractic | 15335 Morrison St, Suite 226, Sherman Oaks, CA 91403-1560 | |
| Mi-yeoung Jo | Psychologist, Clinical | 15335 Morrison St, Suite 205, Sherman Oaks, CA 91403-1585 | |
| Ludmila Zaytsev | Psychologist, Clinical | 15335 Morrison St, Suite 205, Sherman Oaks, CA 91403-1585 | |
| Antero Velez | Obstetrics/gynecology | 4940 Van Nuys Blvd, Suite 307, Sherman Oaks, CA 91403-1700 | |
| Jeffrey C Peak | Anesthesiology | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 | |
| Daniel S Moghadam | Emergency Medicine | Sherman Oaks Emergency Medical Associates | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 |
| Danny L Chang | Emergency Medicine | Sherman Oaks Emergency Medical Associates | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 |
| Laurence J Friedman | Emergency Medicine | Sherman Oaks Emergency Medical Associates | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 |
| Jonathan K Gottlieb | Emergency Medicine | Sherman Oaks Emergency Medical Associates | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 |
| Keith Della Grotta | Emergency Medicine | Sherman Oaks Emergency Medical Associates | 4929 Van Nuys Blvd, Sherman Oaks, CA 91403-1702 |
| Find all physicians in zip 91403 | |||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SHERMAN OAKS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Timothy J Stacy.
| 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.