Stacey Hallarces Nakayama, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 39125 Issued in CA

Practice address

121 E 18TH St
Costa Mesa, CA 92627-3034

Phone

(213) 792-2616

NPI assigned

Oct 5, 2012

Last updated

May 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Thriving Foundations PLC

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1841020583
  NPD Authorized official
• Coalition Physical Therapy

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1881079259
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1164774774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 RALEIGH AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272909",
            "telephone_number": "408-781-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E 18TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273034",
            "telephone_number": "213-792-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAYAMA",
        "first_name": "STACEY",
        "middle_name": "HALLARCES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 39125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taha Najafgholizadeh
• Stephany Najera
• Tony Najera
• Michael Steven Nakahara
• George Sumiya Nakai, MD
• Mimi Namkoong, BCBA
• Nan Cheng MD a Professional Medical Corporation (Irvine Headache Care)
• Andreea Alina-Lualda Nanci, MD
• Nancy D Young PHD (Pathways to Wellness)
• Chaitali Nangia, MD

• Physical Therapist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.