Individual provider · Type 1 NPI

Stacie Karene Taylor, PA-C

Medical Physician Assistant · San Diego, CA

NPI number 1619454428 Active

Practice location

2655 Camino Del Rio N Ste 320
San Diego, CA 92108-1691

Call (619) 782-9480 Map

Mailing address

2655 Camino Del Rio N
San Diego, CA 92108-1633

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA14581 (CA)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1619454428

Stacie Karene Taylor, PA-C's National Provider Identifier is 1619454428, issued on Jul 24, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 1, 2026.