Debra M Stock, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

480 Chadbourne Rd
Fairfield, CA 94534-9639

Phone

(707) 399-4500

Fax

(707) 399-9419

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

71.3 of 100Reported as group

Quality

46

Improvement activities

40

Cost

76.34

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: debra.stock@direct.solderm.nextgenshare.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.

• Solano Dermatology Associates Inc

  • Dermatology Physician
  • Vallejo, CA
  • NPI 1922052729
  Medicare reassignment
• Solano Dermatology Associates Inc

  • Dermatology Physician
  • Vacaville, CA
  • NPI 1356561682
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1376623215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 SACRAMENTO ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945902929",
            "telephone_number": "707-643-5785",
            "fax_number": "707-643-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CHADBOURNE RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945349639",
            "telephone_number": "707-399-4500",
            "fax_number": "707-399-9419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2290 Sacramento St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945902929",
            "country_code": "US",
            "telephone_number": "707-643-5785",
            "fax_number": "707-643-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCK",
        "first_name": "DEBRA",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16490",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA16490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Stillman
• Ryan Royce Stilson, D.C.
• Christina Janet Stimmann, LCSW
• Amber Marie Stirlen, PSY.D.
• Erica Katherine Stith
• George E Stock, M.D.
• Shelby E. Stofle
• Tatianna Marie Stokes
• Abigail Stone, LPCC
• Carter Alan Stone, AMFT & APCC

• Medical Physician Assistant in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.