Individual provider Active NPI

Stella Morden, PHD, NP-C

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1013220581
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22665 Issued in CA
Practice address
1500 21St St
Sacramento, CA 95811-5216
Phone
(916) 914-6358
NPI assigned
Jul 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP010853 PA
Family Nurse Practitioner 363LF0000X 22665 CA Primary

Addresses

Primary practice location

1500 21St St
Sacramento, CA 95811-5216

Mailing address

6100 Rosalind Ave
Richmond, CA 94805-1551
Phone (412) 401-6047

Other practice location 1

10612 San Pablo Ave
El Cerrito, CA 94530-2620
Phone (510) 529-4629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521002061 CA Practitioner - Nurse Practitioner 5799970695 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians

Practice addresses (Care Compare)

2470 Hilborn Rd
Suite 110
Fairfield, CA 94534-1100
Phone (707) 646-4699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince Dec 1, 2024 Accepting new patients
The Davis Street Community Center Incorporated CurrentSince Aug 16, 2023 Accepting new patients
Urgent Care Plus Telehealth Inc CurrentSince Jul 17, 2023 Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
Urgent Care Plus Telehealth Inc CurrentSince Jul 17, 2023 Accepting new patients
Northbay Healthcare Group CurrentSince Dec 1, 2024 Accepting new patients
Newmd Urgent Care Center, Inc. Past Accepting new patients
Bass Medical Group Past Accepting new patients
Urgent Care Plus Telehealth Inc PastSince Dec 13, 2022 Accepting new patients

Locations

1387 E 2nd St
Benicia, CA 94510
Phone (707) 377-1005

2470 Hilborn Rd
Ste 110
Fairfield, CA 94534
Phone (707) 646-4699

2470 Hilborn Rd
Fairfield, CA 94534
Phone (707) 446-7676

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2360 1st St
Napa, CA 94559
Phone (707) 377-1007

3081 Teagarden St
San Leandro, CA 94577
Phone (510) 347-4620

446 W Napa St
Sonoma, CA 95476
Phone (707) 690-5332

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stella.morden.1@21754.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1013220581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 ROSALIND AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051551",
            "telephone_number": "412-401-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 21ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958115216",
            "telephone_number": "916-914-6358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10612 San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "El Cerrito",
            "state": "CA",
            "postal_code": "945302620",
            "country_code": "US",
            "telephone_number": "510-529-4629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORDEN",
        "first_name": "STELLA",
        "credential": "PHD, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP010853",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.