Stacy Halderman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95010080 Issued in CA

Practice address

5190 Campus Dr
Newport Beach, CA 92660-2101

Phone

(949) 764-3713

Fax

(949) 764-5262

NPI assigned

Oct 5, 2018

Last updated

Oct 21, 2026By the provider in NPPES

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

Other names 1

• Stacy Caisip Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacy.halderman.p1@direct.cvma.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.

• Citrus Valley Medical Associates, Inc.

  dba Circle City Medical Group

  • Family Medicine Physician
  • Norco, CA
  • NPI 1306033709
  Medicare reassignment NPD
• Uhs Corona Inc

  dba Corona Regional Medical Center

  • Rehabilitation Hospital Unit
  • Corona, CA
  • NPI 1255327920
  NPD (past)

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1558836510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST STE 104",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822538",
            "telephone_number": "951-737-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 CAMPUS DR",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602101",
            "telephone_number": "949-764-3713",
            "fax_number": "949-764-5262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 S Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "92882",
            "country_code": "US",
            "telephone_number": "951-737-1454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Washburn Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928823303",
            "country_code": "US",
            "telephone_number": "951-737-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALDERMAN",
        "first_name": "STACY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "CAISIP",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roya Haghighat, LMFT
• Julie Ann Cochran Hahn, NP
• Albert Hajboutros
• Laela Mae Hajiaghamohseni, MD
• Andrew James Halber
• Pamela J. Hale, LMFT
• Susan Halim, M.A., M.S.
• Djaeda Lynn Hall
• Robert Dale Hall II, PHARM D.
• Olivia Halloran, RYT 200

• Family Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.