Individual provider · Type 1 NPI

Stacy Nicole Ross, PA-C

Physician Assistant · Fresno, CA

NPI number 1174773808 Active

Practice location

1510 E Herndon Ave Ste 230
Fresno, CA 93720-3392

Call (559) 450-2663 Map

Fax (559) 450-2724

Mailing address

1630 E Herndon Ave
Fresno, CA 93720-3305

Other practice locations

  • 1630 E Herndon Ave, Fresno, CA 93720-3305 · (559) 256-5200

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA 19958 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174773808

Stacy Nicole Ross, PA-C's National Provider Identifier is 1174773808, issued on Sep 30, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fresno, CA. The record was last updated on Jul 16, 2025.