Stallant Medical Group Inc
A Medicare group practice based in Highland, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6406283845), with 26 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6406283845
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 3
- Group size
- 17 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20200225002364 | CA | Part A Provider - Rural Health Clinic | 1366082463 |
| O20250212000720 | CA | Part A Provider - Rural Health Clinic | 1508683111 |
| O20251229000818 | CA | Part B Supplier - Clinic/Group Practice | 1366082463 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Stallant Medical Group Inc
- Rural Health Clinic/Center
- Crescent City, CA
- NPI 1366082463
-
Stallant Medical Group Inc
dba Stallant Health & Wellness
- Rural Health Clinic/Center
- Highland, CA
- NPI 1508683111
Practice locations
- Crescent City, CA2
- Highland, CA2
Clinicians 26
Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (17).
-
Heather Blankenship, MFT
- Marriage & Family Therapist
- Crescent City, CA
- NPI 1962554121
-
Alexander Morris Bowen
- Family Nurse Practitioner
- Chattanooga, TN
- NPI 1710417696
-
Allen Bracebridge, APRN, FNP-C
- Family Nurse Practitioner
- Crescent City, CA
- NPI 1790441871
-
Yasmin Chene, PA
- Physician Assistant
- San Bernardino, CA
- NPI 1275661670
-
Sophia Chun, MD
- Internal Medicine Physician
- Seal Beach, CA
- NPI 1104939990
-
Tracy David Cole, D.C.
- Chiropractor
- Crescent City, CA
- NPI 1932113982
-
Carla Kimberly Fontal
- Primary Care Nurse Practitioner
- North Port, FL
- NPI 1114762739
-
Holly Gauthun, RDN
- Registered Dietitian
- San Jacinto, CA
- NPI 1346071917
-
Steven Clark Gawthrop, P.A.
- Physician Assistant
- Paradise, CA
- NPI 1134284292
-
Brian Glass, FNP
- Family Nurse Practitioner
- Crescent City, CA
- NPI 1396176202
-
Matthew Hamerly, PT
- Physical Therapist
- Highland, CA
- NPI 1558230698
-
Zachary Holbert, FNP-BC
- Family Nurse Practitioner
- Saint Albans, WV
- NPI 1073985834
-
Daphne L. Huang, D.P.M.
- Podiatrist
- Davis, CA
- NPI 1598012395
-
Nicole Kanomata, FNP
- Family Nurse Practitioner
- Manistee, MI
- NPI 1366165102
-
Kimberly Kreitinger, MD
- Internal Medicine Physician
- Orlando, FL
- NPI 1518494921
-
Nicole Laferriere, LCSW
- Clinical Social Worker
- Crescent City, CA
- NPI 1285025486
-
Matthew McNeese, DNP, FNP-C
- Family Nurse Practitioner
- Crescent City, CA
- NPI 1770218653
-
Edwin Emmanuel Nebblett, MD
- Family Medicine Physician
- Reserve, NM
- NPI 1558352963
-
Ireen Banaag Reyes
- Family Nurse Practitioner
- Highland, CA
- NPI 1891403853
-
Rachel Satoh, APRN; FNP-C
- Nurse Practitioner
- Highland, CA
- NPI 1255989513
-
Aliyah Simcoff, LCSW
- Clinical Social Worker
- Orinda, CA
- NPI 1194318634
-
Randall L Steffens Sr., DO
- Emergency Medicine Physician
- Crescent City, CA
- NPI 1992745079
-
Patricia Sternenberg, FNP-BC
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1699406090
-
Colby Austin Strong, PA-C
- Physician Assistant
- Crescent City, CA
- NPI 1609733385
-
Joseph Louis Tate, P.A.C.
- Medical Physician Assistant
- Hesperia, CA
- NPI 1538423447
-
Merin Akemi Yoshida, DPM
- Podiatrist
- Los Alamitos, CA
- NPI 1487965448
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.