DEBRA M STOCK (NPI# 1376623215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376623215 |
| Entity Type | Individual |
| Full Name | DEBRA M STOCK |
| Credential | PA |
| Practice Address |
2290 Sacramento St Vallejo CA 94590-2929 |
| Practice Telephone | 7076435785 |
| Practice Fax Number | 7076435876 |
| Mailing Telephone | 7076435785 |
| Mailing Fax Number | 7076435876 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2011-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA16490 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA16490 | 05 |
| Street Address |
2290 SACRAMENTO ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083667851 | Kyle Joseph Goleno | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-19 |
| 1003227372 | Jonathan Okman | Dermatology | 2290 Sacramento St, Vallejo, CA 94590 | 2014-05-08 |
| 1821238569 | Meghan Elizabeth Kennedy | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2009-02-20 |
| 1811159387 | Kathryn Marie Kent | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2008-06-26 |
| 1750564407 | Joshua Paul Spanogle | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2007-12-17 |
| 1023056983 | John Howard Alexander | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-06-03 |
| 1275571028 | John Kevin Geisse | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-06-03 |
| 1013961572 | Margaret Malig Nonato | Physician Assistant | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-20 |
| 1518911395 | Serena Mraz | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-19 |
| 1922052729 | Solano Dermatology Associates Inc | Dermatology | 2290 Sacramento St, Vallejo, CA 94590-2929 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055329 | Leonardo Alexander Sanchez Espinoza | Physician Assistant | 440 Carlson St, Vallejo, CA 94590-7320 | 2020-08-28 |
| 1922641521 | Stephanie Ray | Physician Assistant | 1900 Ascot Pkwy Apt 1413, Vallejo, CA 94591-8337 | 2019-10-26 |
| 1982249314 | Tramanh Bui | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-11-08 |
| 1013550698 | Brittany Nichole Hart | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-10-25 |
| 1346891017 | Geni Garcia | Physician Assistant | 1310 Club Dr, Vallejo, CA 94592-1187 | 2019-09-24 |
| 1427612910 | Heather Wright | Physician Assistant | 220 Hospital Dr, Vallejo, CA 94589-2517 | 2019-04-30 |
| 1710490149 | Jason J Ricci | Physician Assistant | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2017-11-07 |
| 1760912117 | Nicole Kaleen Young | Physician Assistant | 100 Hospital Dr Ste 303, Vallejo, CA 94589-2583 | 2017-06-19 |
| 1285184242 | Mereb Habtetsion | Physician Assistant | 243 Georgia St Ste B, Vallejo, CA 94590-5905 | 2016-10-13 |
| 1639546914 | Monica A. Muzzin | Physician Assistant | 100 Hospital Dr, Vallejo, CA 94589-2580 | 2015-08-21 |
| Find all providers in VALLEJO | ||||
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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.