Individual provider Active NPI

Stephanie C Williams, PA-C

  • Physician Assistant
  • Solana Beach, CA
National Provider Identifier
1922491521
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52356 Issued in CA
Practice address
437 S Highway 101 Ste 217
Solana Beach, CA 92075-2221
Phone
(858) 792-7546
Fax
(858) 792-7007
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 52356 CA Primary

Addresses

Primary practice location

437 S Highway 101 Ste 217
Solana Beach, CA 92075-2221

Mailing address

437 S Highway 101 Ste 217
Solana Beach, CA 92075-2221
Phone (858) 792-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Palm M.D., P.C. CurrentSince Nov 17, 2024 Accepting new patients

Locations

437 S Highway 101
Ste 217
Solana Beach, CA 92075
Phone (858) 792-7546

Interoperability endpoints

  • Direct secure messaging: swilliams@directaddress.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1922491521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 S HIGHWAY 101 STE 217",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752221",
            "telephone_number": "858-792-7546",
            "fax_number": "858-792-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 S HIGHWAY 101 STE 217",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752221",
            "telephone_number": "858-792-7546",
            "fax_number": "858-792-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "STEPHANIE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.