Provider / Organization | NPI | Date Certified |
---|---|---|
ANDREA B.D. STEPHENS | 1396999488 | 2023-11-10 |
Andrea Stephens [F] graduated in 2008 and primarily specializes in Physician Assistant.
Andrea B.d. Stephens is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396999488. Registration indicates Andrea B.d. Stephens is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
PECOS ID | 5496883407 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Andrea B.d. Stephens PA-C |
Other Provider Name | Andrea B. Danielson |
Practice Office Address | 3020 CHILDRENS WAY SAN DIEGO, CA US |
Practice Office Telephone | 8589668800 |
Mailing Address | 3020 CHILDRENS WAY # MC5003 SAN DIEGO, CA 921234223 US |
Business Telephone | 8583096300 |
Address | City / State | Phone / Fax |
---|---|---|
9739 Sierra Madre Rd | Spring Valley, CA 919771329 | 6199933485 |
2415 E Imperial Hwy | Brea, CA 928216114 | 7142551640 |
3195 Harbor Blvd | Costa Mesa, CA 926262514 | 7142630227 |
3851 Katella Ave | Los Alamitos, CA 907203309 | 5624304138 |
751 S Weir Canyon Rd | Anaheim, CA 928081962 | 7144530120 |
6971 El Camino Real Ste 101 | Carlsbad, CA 920094114 | 7602584971 |
Code | Practice | License No State |
---|---|---|
363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | PA20000
CA |