Stephanie Sandeep Ali, PA-C
Individual provider Active NPI Physician Assistant · Vacaville, CA
NPI 1871964353 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1871964353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 52927 (CA)
- Practice address
- 770 Mason St
Vacaville, CA 95688 - Phone
- (707) 427-4900
- Fax
- (707) 454-5831
- NPI assigned
- Oct 9, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sutter Valley Medical Foundation
Practice addresses (Care Compare)
2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600
2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731
770 Mason St
Vacaville, CA 95688-4646
Phone (707) 454-5800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151202001178 | CA | Practitioner - Physician Assistant | 5890095574 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current |
Accepting new patients | |
| Sutter Valley Medical Foundation | Current |
Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Locations
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398
770 Mason St
Vacaville, CA 95688
Phone (707) 446-2935
Interoperability endpoints
- spurewal350333@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52927 | CA | Yes |
Addresses
Primary practice location
770 Mason St
Vacaville, CA 95688
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other practice location 1
2081 Bronze Star Dr
Woodland, CA 95776-5423
Phone (530) 669-5323
Other providers in Vacaville, CA
- Natassia Aleman-Teweles
- Audrey Alexander
- Karen Kathleen Alexander
- Marsha Alexander
- Asfand Ali
- All Aboard Speech Therapy, Inc.
- Miya E Allen
- Allison Catapano Chiropractic
- Rochelle Alonsabe
- Jessica Alonte
All providers in Vacaville, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.