Individual provider Active NPI

Stacen Velvin, M.D.

  • Psychiatry Physician
  • Vacaville, CA
National Provider Identifier
1285124743
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A177925 Issued in CA
Practice address
1600 California Drive
Vacaville, CA 95687
Phone
(707) 449-6504
NPI assigned
May 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X S4070 TX
Psychiatry Physician 2084P0800X A177925 CA Primary

Addresses

Primary practice location

1600 California Drive
Vacaville, CA 95687

Mailing address

1600 California Drive
Vacaville, CA 95687
Phone (707) 449-6504

Other practice location 1

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-3354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200601000022 TX Practitioner - Psychiatry 8729335120 Reassigns benefits to 6 organizations
I20230914003585 CA Practitioner - Psychiatry 8729335120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

2060 Fairmont Dr
Castro Valley, CA 94578-1001
Phone (510) 346-7500

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A177925CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spindletop MHMR Services CurrentSince Sep 28, 2020 Accepting new patients
Bluebonnet Trails Community MHMR Center CurrentSince Feb 20, 2023 Accepting new patients
Jason D. Baron, M.D., PA Psychiatry CurrentSince Jun 6, 2020 Accepting new patients
Tri-County Behavioral Healthcare CurrentSince Feb 17, 2023 Accepting new patients
Alameda Health System Current Accepting new patients
Camino Real Community MHMR Center CurrentSince Jan 1, 2023 Accepting new patients
Alameda Health System CurrentSince Aug 21, 2023 Accepting new patients
Jason D. Baron, M.D., P.a. CurrentSince Jun 6, 2020 Accepting new patients
Burke Center Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Spindletop MHMR Services Current Accepting new patients
Alameda Health System CurrentSince Aug 21, 2023 Accepting new patients
Bluebonnet Trails Community MHMR Center Psychiatry CurrentSince Feb 20, 2023 Accepting new patients
Texana Center CurrentSince Jan 17, 2023 Accepting new patients
Burke Center PastSince Jan 1, 2023 Accepting new patients

Locations

2060 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 346-1300

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7677 Oakport St
Ste 1200
Oakland, CA 94621
Phone (510) 618-5768

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

233 Sgt Ed Holcomb Blvd S
Conroe, TX 77304
Phone (936) 521-6151

706 Old Montgomery Rd
Conroe, TX 77301
Phone (936) 538-1102

5500 Guhn Rd
Ste 100
Houston, TX 77040
Phone (713) 893-8889

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300

1009 N Georgetown St
Round Rock, TX 78664
Phone (512) 244-8374

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1285124743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CALIFORNIA DRIVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-449-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CALIFORNIA DRIVE",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-449-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELVIN",
        "first_name": "STACEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-10",
        "last_updated": "2024-04-30",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S4070",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A177925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.