STACY MARIE YADAVA


Address: 1617 N California St Ste 2d, Stockton, CA 95204
Phone: 2099339888

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology A128209 CA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

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

Office Location

Street Address 1617 N CALIFORNIA ST STE 2D
City STOCKTON
State CA
Zip Code 95204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538681432 Jasbir Singh Gill Obstetrics & Gynecology 1617 N California St Ste 2d, Stockton, CA 95204-6117 2017-07-12

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
Find all providers in STOCKTON

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City STOCKTON
Zip Code 95204

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Dataset Information

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.

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