Taya Gabrielle Stanley, L.AC.

Individual provider Active NPI Acupuncturist · Jamestown, CA

NPI 1346461084 · NPPES record last updated Jul 13, 2023

Key facts

NPI
1346461084
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AC 10895 (CA)
Practice address
18232 Smoke St
Jamestown, CA 95327-9218
Phone
(209) 782-8625
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AC 10895CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mathiesen Memorial Health Center Current
since Jul 16, 2023
Accepting new patients
Yellow Mountain Institute Acupuncturist Past Accepting new patients
Mathiesen Memorial Health Clinic Past
since Jul 16, 2023
Accepting new patients

Locations

18232 Smoke St
Jamestown, CA 95327
Phone (209) 782-8625

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: taya.stanley.p3@direct.mathiesenmemorialhc.nextgenshare.com
  • Direct secure messaging: tanya.stanley.p1@direct.mathiesenmemorialhc.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC 10895 CA Yes

Addresses

Primary practice location

18232 Smoke St
Jamestown, CA 95327-9218

Mailing address

PO Box 535
Jamestown, CA 95327-0535
Phone (209) 782-8625

Other providers in Jamestown, CA

All providers in Jamestown, CA · Acupuncturist in California

Sources for this page

Verify at the official NPI Registry.