MS. STACEY PRATT MPA NPI 1619200128

NPI Information

NPI: 1619200128
Provider Name: MS. STACEY PRATT, MPA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: POLARIS HEART AND VASCULAR PLLC

PECOS Registration: Yes

Address:
2241 WANKEL WAY STE C
OXNARD, CA
ZIP 93030
Phone: (805) 983-0922
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MS. Stacey Pratt, MPA is a medical physician assistant in Oxnard, CA with 15 years of experience. MS. Stacey Pratt, MPA NPI is 1619200128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:2009

The provider's business location address is:

2241 WANKEL WAY STE C
OXNARD, CA
ZIP 93030
Phone: (805) 983-0922
Fax: (805) 351-8217

The NPI 1619200128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2009 and was last updated on 6/4/2018.

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	0110003132	VIRGINIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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