Individual provider · Type 1 NPI

Mallory Alyssa Decampos-Stairiker, MD

Student in an Organized Health Care Education/Training Program · Stanford, CA

NPI number 1679226351 Active

Practice location

300 Pasteur Dr # S101
Stanford, CA 94305-2200

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPTL18377 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679226351

Mallory Alyssa Decampos-Stairiker, MD's National Provider Identifier is 1679226351, issued on Feb 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stanford, CA. The record was last updated on Jul 10, 2026.