Stephanie O'Brien Gonda, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95010771 Issued in CA

Practice address

3830 Valley Centre Dr Ste 702
San Diego, CA 92130-3307

Phone

(858) 720-0554

NPI assigned

Jan 25, 2019

Last updated

Jan 15, 2025By 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

Other names 1

• Stephanie O'Brien Sramek Former name

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jurkowski Medical CorporationGroup PAC ID 7911155304, 16 clinicians

Two Zeds Medical CorporationGroup PAC ID 7810291291, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssramek182814@scrippshlth.medalliesdirect.net
• Direct secure messaging: stephanie.sramek.1@13061.direct.athenahealth.com

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.

• Jurkowski Medical Corporation

  dba MD Today Urgent Care

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1750644258
  Medicare reassignment Care Compare group NPD
• Two Zeds Medical Corporation

  dba MD Today Urgent Care

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1275909434
  Medicare reassignment Care Compare group NPD
• Pacific Emergency Providers, a Prof. Corp.

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1497790539
  Medicare reassignment NPD
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)
• Patient First Richmond Medical Group PLLC

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1689603748
  NPD (past)

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1306300272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13546 SAGEWOOD DR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920641730",
            "telephone_number": "858-444-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 VALLEY CENTRE DR STE 702",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303307",
            "telephone_number": "858-720-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONDA",
        "first_name": "STEPHANIE",
        "middle_name": "O'BRIEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SRAMEK",
            "middle_name": "O'BRIEN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natache Goncalves Menezes
• Madison Goncalves
• Paula Goncalves, PSY.D.
• Shelly Gonchoroff
• David Daniel Gonda, M.D
• Christina Joan Gondusky, M.D.
• Satish Gonela, M.D.
• Micol Gonella, PSY.D
• Frances Gong, OD
• Ivan Gong, PHARMD

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.