STACY MARIE YADAVA (NPI# 1154689677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154689677 |
Entity Type | Individual |
Full Name | STACY MARIE YADAVA |
Credential | M.D. |
Practice Address |
1617 N California St Ste 2d Stockton CA 95204 |
Mailing Address |
Po Box 967 Lodi CA 95241-0967 |
Practice Telephone | 2099339888 |
Mailing Telephone | 2093341800 |
Mailing Fax Number | 2093342416 |
Enumeration Date | 2012-05-03 |
Last Update Date | 2019-08-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | A128209 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
751 S Bascom Ave, Santa Clara Valley Medical Center, San Jose, CA 951282604 | 4152466240 | |
1617 N California St Ste 2d, Stockton, CA 95204 | 2099339888 |
Street Address |
1617 N CALIFORNIA ST STE 2D |
City | STOCKTON |
State | CA |
Zip Code | 95204 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538681432 | Jasbir Singh Gill | Obstetrics & Gynecology | 1617 N California St Ste 2d, Stockton, CA 95204-6117 | 2017-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
Find all providers in zip 95204 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881869741 | Maria Estela Escalona | Obstetrics & Gynecology | 1617 N California St Ste 2b, Stockton, CA 95204-6117 | 2008-04-23 |
1679780712 | Kimberly Patrice Mclaughlin | Obstetrics & Gynecology | 1617 N. California Street, Suite 2a, Stockton, CA 95204 | 2007-05-17 |
1891867602 | Thomas S.c. Leong | Obstetrics & Gynecology | 10631 Tank House Dr, Stockton, CA 95209-4340 | 2006-11-15 |
1013002716 | Melba Agatep Berbano | Obstetrics & Gynecology | 1801 E March Ln Ste C320, Stockton, CA 95210-6676 | 2006-10-04 |
1437158706 | Shermilla Shunmugham | Obstetrics & Gynecology | 1617 N California St, Ste 2b, Stockton, CA 95204-6117 | 2005-07-19 |
1538681432 | Jasbir Singh Gill | Obstetrics & Gynecology | 1617 N California St Ste 2d, Stockton, CA 95204-6117 | 2017-07-12 |
1003202417 | Karen Swarer | Obstetrics & Gynecology | 1617 N California St Ste 2a, Stockton, CA 95204-6117 | 2015-04-13 |
1447652524 | Molly Campbell | Obstetrics & Gynecology | 1617 N California St Ste 2a, Stockton, CA 95204-6117 | 2014-09-21 |
1740690718 | Nataliya Vang | Obstetrics & Gynecology | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2014-04-30 |
1659635134 | David Julius Russell | Obstetrics & Gynecology | 1617 N California St, Ste. 2f, Stockton, CA 95204-6117 | 2012-06-28 |
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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.