Individual provider Active NPI

Isabella Ariana Will, PA-C

  • Physician Assistant
  • Stockton, CA
National Provider Identifier
1649091398
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65569 Issued in CA
Practice address
2431 W March LN Ste 100
Stockton, CA 95207-8211
Phone
(209) 490-5050
Fax
(209) 779-6211
NPI assigned
Oct 24, 2024
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65569 CA Primary

Addresses

Primary practice location

2431 W March LN Ste 100
Stockton, CA 95207-8211

Mailing address

2431 W March LN Ste 100
Stockton, CA 95207-8211
Phone (209) 490-5050

Other practice location 1

296 Cottage Ave
Manteca, CA 95336-4942
Phone (209) 624-7006

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250624003557 CA Practitioner - Physician Assistant 9335651413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology and Skin Cancer SpecialistsGroup PAC ID 3678702206, 20 clinicians

Practice addresses (Care Compare)

1507 E March LN
Suite C
Stockton, CA 95210-5625
Phone (209) 227-5052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA65569CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edmund Yao MD Inc CurrentSince Jan 19, 2025 Accepting new patients
Community Hospice, Inc. Past Accepting new patients
Artius Dermatology Associates, P.C. PastSince Apr 8, 2025 Accepting new patients

Locations

1507 E March Ln
Ste C
Stockton, CA 95210
Phone (209) 227-5052

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1649091398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W MARCH LN STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078211",
            "telephone_number": "209-490-5050",
            "fax_number": "209-779-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W MARCH LN STE 100",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078211",
            "telephone_number": "209-490-5050",
            "fax_number": "209-779-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "296 Cottage Ave",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953364942",
            "country_code": "US",
            "telephone_number": "209-624-7006",
            "fax_number": "209-554-4601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILL",
        "first_name": "ISABELLA",
        "middle_name": "ARIANA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.