Individual provider Active NPI

Stephanie Messina, PA

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1912202987
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21409 Issued in CA
Practice address
2340 Clay St FL 6
San Francisco, CA 94115-1932
Phone
(424) 444-7399
Fax
(424) 253-0814
NPI assigned
Jan 21, 2011
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 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 PA21409 CA Primary

Addresses

Primary practice location

2340 Clay St FL 6
San Francisco, CA 94115-1932

Mailing address

2340 Clay St FL 6
San Francisco, CA 94115-1932
Phone (424) 444-7399

Other practice location 1

9834 Genesee Ave Ste 411
LA Jolla, CA 92037-1264
Phone (424) 444-7399

Other practice location 2

9025 Wilshire Blvd Ste 202
Beverly Hills, CA 90211-1825
Phone (424) 444-7399

Other practice location 3

2250 Hayes St
San Francisco, CA 94117-1078
Phone (424) 444-7399

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stephanie@havenheadache.com

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
I20150727000531 CA Practitioner - Physician Assistant 4981917572 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21409CAMDOccupational Therapist
PA21409CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Auc PC CurrentSince Feb 1, 2016 Accepting new patients
Cep America - Auc, PC CurrentSince Feb 1, 2016 Accepting new patients
Cep America - Auc, PC Past Accepting new patients
St. Jude Hospital Yorba Linda Past Accepting new patients

Locations

22855 Lake Forest Dr
Ste A
Lake Forest, CA 92630
Phone (949) 452-7544

26137 La Paz Rd
Ste 120
Mission Viejo, CA 92691
Phone (949) 452-3309

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Interoperability endpoints

  • Direct secure messaging: smessina1157225@oc.providencedirect.org
  • Direct secure messaging: stephanie.messina@908283864678404.direct.elationemr.com
  • Direct secure messaging: stephanie@havenheadache.com

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": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1912202987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 CLAY ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151932",
            "telephone_number": "424-444-7399",
            "fax_number": "424-253-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CLAY ST FL 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151932",
            "telephone_number": "424-444-7399",
            "fax_number": "424-253-0814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9834 Genesee Ave Ste 411",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371264",
            "country_code": "US",
            "telephone_number": "424-444-7399",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9025 Wilshire Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111825",
            "country_code": "US",
            "telephone_number": "424-444-7399",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Hayes St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941171078",
            "country_code": "US",
            "telephone_number": "424-444-7399",
            "fax_number": "424-253-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSINA",
        "first_name": "STEPHANIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stephanie@havenheadache.com",
            "affiliation": "N",
            "address_1": "2340 Clay St Fl 6",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941151932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.