MRS. STACY ANN VENCILL PA-C NPI 1629110655

NPI Information

NPI: 1629110655
Provider Name: MRS. STACY ANN VENCILL, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4870 BARRANCA PKWY
350
IRVINE, CA
ZIP 92604
Phone: (949) 451-6060
Get Directions

MRS. Stacy Ann Vencill, PA-C is a medical physician assistant in Irvine, CA. MRS. Stacy Ann Vencill, PA-C NPI is 1629110655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4870 BARRANCA PKWY
350
IRVINE, CA
ZIP 92604-709
Phone: (949) 451-6060
Fax: (949) 451-6070

The enumeration date for this NPI number is 2/13/2007 and was last updated on 2/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA18107	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WPA18107A	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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