Stephanie Fadayel, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A23819 Issued in CA

Practice address

902 Cirby Way
Roseville, CA 95661-4420

Phone

(916) 789-1798

Fax

(916) 789-0889

NPI assigned

Apr 5, 2022

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

Medicare fee-for-service enrollment

Enrolled in NM

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 Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sfadayel762785@hisp.ehr.sutterhealth.org

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.

• Hill Physicians Medical Group - PPO Program

  • Preferred Provider Organization
  • San Ramon, CA
  • NPI 1679011035
  NPD (past)
• Pediatric Medical Associates of Sacramento Inc

  • Pediatrics Physician
  • Sacramento, CA
  • NPI 1760570600
  NPD (past)
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)
• Unm Medical Group Inc

  • Developmental Disabilities Clinic/Center
  • Albuquerque, NM
  • NPI 1851614432
  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1407597511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CIRBY WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614420",
            "telephone_number": "916-789-1798",
            "fax_number": "916-789-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CIRBY WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614420",
            "telephone_number": "916-789-1798",
            "fax_number": "916-789-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADAYEL",
        "first_name": "STEPHANIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A23819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Jeannette Ewell, PHARMD
• Lindsey Diane Ewick, PA-C
• Ifeanyi Ezeani
• Face and Body Solutions, Inc.
• Melinda Marie Facelli, L.M.F.T.
• Abdo J. Faddoul, M.D.
• Tigidankay Kasanti Fadika
• Mary Kathleen Fahy, IMFT
• Tanisha Fairgood, LMFT
• Lauren Koohai Fairley

• Pediatrics Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.