Stephen Pacia Datu, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A48426 Issued in CA

Practice address

85 Sale LN
Suite a
Red Bluff, CA 96080-2949

Phone

(530) 527-8688

Fax

(530) 527-8561

NPI assigned

Sep 1, 2006

Last updated

Feb 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: stephen.datu.1@19854.direct.athenahealth.com
• Direct secure messaging: stephen.datu@399001879379972.direct.elationemr.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.

• Colusa Medical Center, LLC

  • Rural Health Clinic/Center
  • Red Bluff, CA
  • NPI 1972072163
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1386746287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SALE LN",
            "address_2": "SUITE A",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802949",
            "telephone_number": "530-527-8688",
            "fax_number": "530-527-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SALE LN",
            "address_2": "SUITE A",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802949",
            "telephone_number": "530-527-8688",
            "fax_number": "530-527-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATU",
        "first_name": "STEPHEN",
        "middle_name": "PACIA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A48426",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00A484260",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "680304681",
            "identifier": "TAX ID",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Dahnke
• Kathleen A Dahnke, P.T.
• Mazen Dalbik, PHARMD
• Jan D Danforth
• Susan J Danis
• David Cox Chiropractic, a Professional Corporation
• Jennifer Davis, LPT
• Wendy Davis, NP-C
• Samantha De Mello
• Deepika Saini, M.D., Inc

• Specialist in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.