Adelina B Stateva, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E4562 Issued in CA

Practice address

175 Park St
Lakeport, CA 95453-4803

Phone

(707) 263-9595

Fax

(707) 263-5576

NPI assigned

Jul 11, 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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkview PodiatryGroup PAC ID 6406118132, 3 clinicians

Mendocino Community Health Clinic IncGroup PAC ID 6305755455, 57 clinicians

Consolidated Tribal Health Project, Inc.Group PAC ID 1456260736, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
• Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adelinastateva@pp-ca1.direct.office.nextgen.com
• FHIR API: https://api.platform.athenahealth.com/15156/brand/1/csg/1/fhir/r4
• Direct secure messaging: astateva335504@direct.ochin.org
• Direct secure messaging: adelina.stateva.1@15156.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Consolidated Tribal Health Project, Inc.

  • Health Service Clinic/Center
  • Redwood Valley, CA
  • NPI 1003826009
  Medicare reassignment Care Compare group NPD
• Mendocino Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1497961106
  Medicare reassignment Care Compare group NPD
• Parkview Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Lakeport, CA
  • NPI 1932613759
  Medicare reassignment Care Compare group NPD
• Mendocino Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1356714646
  NPD
• Mendocino Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1750809463
  NPD
• Parkview Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Santa Rosa, CA
  • NPI 1528555281
  NPD
• Mendocino Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Ukiah, CA
  • NPI 1811958952
  NPD (past)
• North Bay Medical Group, Inc.

  • Surgery Physician
  • Santa Rosa, CA
  • NPI 1992716450
  NPD (past)
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Santa Rosa, CA
  • NPI 1134152549
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ukiah Adventist Hospital

  • General Acute Care Hospital
  • Ukiah, CA
  • NPI 1235120676
  Care Compare affiliation
• Willits Hospital Inc.

  • Critical Access Hospital
  • Willits, CA
  • NPI 1356339543
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1477588549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PARK ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534803",
            "telephone_number": "707-263-9595",
            "fax_number": "707-263-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PARK ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954534803",
            "telephone_number": "707-263-9595",
            "fax_number": "707-263-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATEVA",
        "first_name": "ADELINA",
        "middle_name": "B",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4562",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly A Southerland, P.A.
• Judy Wolfe Spillane, PH.D.
• Jennifer Marie Stabiner
• Peter George Stanley, MD
• Valerie Ann Stark
• Stephanie Sandretti, DDS and Matthew Sandretti, DDS, MSD Inc
• Stephen Pinsk, M.D., Inc.
• Melissa Steyskal
• Betty Ann Strach, MFT
• Nelson Strasser

• Podiatrist in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.