Stephanie G Cullinane, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15353 Issued in CA

Practice address

2330 Marinship Way Ste 370
Sausalito, CA 94965-2853

Phone

(415) 887-9758

Fax

(415) 887-9763

NPI assigned

Aug 25, 2005

Last updated

May 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Stanford University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Marin Dermatology IncGroup PAC ID 2668614447, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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

• Southern Marin Dermatology, Inc.

  • Dermatology Physician
  • Sausalito, CA
  • NPI 1487090924
  Medicare reassignment Care Compare group
• California Pacific Medical Group, Inc.

  dba Brown & Toland Medical Group

  • Multi-Specialty Clinic/Center
  • Oakland, CA
  • NPI 1275002453
  NPD (past)
• Sutter Bay Hospitals

  • Skilled Nursing Facility
  • San Francisco, CA
  • NPI 1588732713
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1093708901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MILLER AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412905",
            "telephone_number": "415-383-5486",
            "fax_number": "415-389-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 MARINSHIP WAY STE 370",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652853",
            "telephone_number": "415-887-9758",
            "fax_number": "415-887-9763"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Mill Valley",
            "state": "CA",
            "postal_code": "949412905",
            "country_code": "US",
            "telephone_number": "415-383-5486",
            "fax_number": "415-389-7455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLINANE",
        "first_name": "STEPHANIE",
        "middle_name": "G",
        "credential": "PA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makena Collin, OTR/L
• Cynthia Collison
• Arthur David Colman, M.D.
• Ana Isabel Connor, PHARM.D.
• Corstone
• Eva Dahl, D.C.,O.T.R.
• Danielle Abramo Levi DDS Inc
• Elizabeth Darby
• Bruce A. Davey, D.D.S.
• Edward Davis, MD

• Physician Assistant in Sausalito, CA
• Providers in Sausalito, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.