MS. STACEY PRATT MPA NPI 1619200128

NPI Information

  • NPI: 1619200128
  • Provider Name: MS. STACEY PRATT, MPA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 818 W 7TH ST STE 930
    LOS ANGELES, CA
    ZIP 90017
  • Phone: (646) 586-9908

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NPI Details

MS. Stacey Pratt, MPA is a medical physician assistant in Los Angeles, CA with 16 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:

818 W 7TH ST STE 930
LOS ANGELES, CA
ZIP 90017-476
Phone: (646) 586-9908

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 10/18/2024.

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
1363A00000XPhysician Assistant0010-12869NORTH CAROLINANo
2363A00000XPhysician AssistantPA100237MASSACHUSETTSNo
3363A00000XPhysician Assistant9042ARIZONANo
4363A00000XPhysician AssistantPA17043TEXASNo
5363A00000XPhysician Assistant028296NEW YORKNo
6363A00000XPhysician AssistantPA61433652WASHINGTONNo
7363A00000XPhysician AssistantC08341MARYLANDNo
8363A00000XPhysician Assistant11549GEORGIANo
9363A00000XPhysician AssistantPA.0007864COLORADONo
10363A00000XPhysician Assistant53299CALIFORNIANo
11363A00000XPhysician Assistant4698SOUTH CAROLINANo
12363AM0700XPhysician AssistantMedical0110003132VIRGINIAYes

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: 3/30/2025

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