Individual provider Active NPI

Stacey Annette Duncan, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1144363748
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14935 Issued in CA
Practice address
12021 Wilmington Ave
Los Angeles, CA 90059-3019
Phone
(310) 668-4526
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA14935 CA
Physician Assistant 363A00000X PA14935 CA Primary

Addresses

Primary practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Mailing address

PO Box 1135
Culver City, CA 90232-1135
Phone (323) 934-5966

Other practice location 1

1313 W 8th St Ste 100
Los Angeles, CA 90017-4422
Phone (213) 401-1970

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
I20040102000576 CA Practitioner - Physician Assistant 5294634812 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

3828 Delmas Ter
Culver City, CA 90232-2713
Phone (310) 836-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14935CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of California, a Medical Corporation CurrentSince Mar 30, 2019 Accepting new patients
Sharwin Tafazoli Inc CurrentSince Jan 10, 2026 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Mar 30, 2019 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince May 11, 2013 Accepting new patients

Locations (25 of 27)

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

875 N Brea Blvd
Brea, CA 92821
Phone (714) 529-6842

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

3747 Foothill Blvd
#B140
La Crescenta, CA 91214
Phone 3104455999255

12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

1300 N C St
Oxnard, CA 93030
Phone (805) 983-0305

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

6401 33rd St
Riverside, CA 92509
Phone (909) 681-2200

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868

1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

4343 N Sierra Way
Sn Bernrdno, CA 92407
Phone (909) 886-4731

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202

Interoperability endpoints

  • Direct secure messaging: sduncan782509@direct.memorialcare.org

Organizations & group practices 6

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1144363748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1135",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902321135",
            "telephone_number": "323-934-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12021 WILMINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900593019",
            "telephone_number": "310-668-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 W 8th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900174422",
            "country_code": "US",
            "telephone_number": "213-401-1970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "STACEY",
        "middle_name": "ANNETTE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA14935",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA14935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.