Active NPI
Stacey White, M.D.
- Emergency Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A145865
- Practice address
- 6655 Alvarado Rd
San Diego, CA 92120-5208 - Phone
- (619) 287-3270
- NPI assigned
- Apr 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A145865 | CA | Primary |
Addresses
Primary practice location
6655 Alvarado Rd
San Diego, CA 92120-5208
Mailing address
6655 Alvarado Rd
San Diego, CA 92120-5208
Other practice location 1
11234 Anderson St
GME Office Westerly Suite C
Loma Linda, CA 92350-1716
Phone (909) 558-4085
Other practice location 2
11234 Anderson St
GME Office Westerly Suite C
Loma Linda, CA 92350-1716
Phone (909) 558-4085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Medical College of Wisconsin, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4760 E Germann Rd
Gilbert, AZ 85297-0205
Phone (888) 732-3317
Hospital & facility affiliations
- Dignity Health Arizona General Hospital
- Dignity Health - Arizona General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145865 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Alvarado Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| Tec Emergency Physicians of Arizona, LLC | Current | Accepting new patients |
Locations
4760 E Germann Rd
Gilbert, AZ 85297
Phone (480) 494-5000
7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
11234 Anderson St
Ofc
Loma Linda, CA 92350
Phone (909) 558-4074
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
Organizations & group practices 5
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.
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1285811992
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Preventive Medicine/Occupational Environmental Medicine Physician
- Loma Linda, CA
- NPI 1306372073
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laveen, AZ
- NPI 1154748416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1154718013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 ALVARADO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 ALVARADO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205208",
"telephone_number": "619-287-3270"
}
],
"practiceLocations": [
{
"address_1": "11234 Anderson St",
"address_2": "GME Office Westerly Suite C",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923501716",
"country_code": "US",
"telephone_number": "909-558-4085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11234 Anderson St",
"address_2": "GME Office Westerly Suite C",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923501716",
"country_code": "US",
"telephone_number": "909-558-4085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "STACEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-17",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A145865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.