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STACY ANNE PETERSEN FNP-C
NPI 1144719527
Nurse Practitioner - Family in Costa Mesa, CA

Active since May 01, 2018
700 W 19TH ST, COSTA MESA, CA 92627(949) 645-4646 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, May 1, 2018 (2 updates tracked since 2018).

About Stacy Anne Petersen Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY ANNE PETERSEN FNP-C (NPI 1144719527) is an individual family provider in Costa Mesa, California, licensed in California (NP95007971) and active in the NPI registry since May 2018. She maintains a secondary practice location in Laguna Niguel.

NPPES Registry Identity

NPI1144719527
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACY ANNE PETERSENCredential: FNP-C
Location Address700 W 19TH STCosta Mesa, CA 92627-3517
Mailing Address26791 Aliso Creek Rd, 1018Laguna Niguel, CA 92677 · (949) 991-4172 · Fax (949) 288-0429
Phone(949) 645-4646
Sole ProprietorNo
Enumeration DateMay 1, 2018
Last NPPES UpdateFebruary 26, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1144719527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95007971
700 W 19TH ST, Costa Mesa, CA 92627
Open in Google Maps ↗

Secondary Practice Location 1

Location 126791 Aliso Creek Rd, 1018Laguna Niguel, CA 92677-4112 · Phone (949) 991-4172 · Fax (949) 288-0429

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANY LE
Physician Assistant (Medical)
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 645-9334
ESTHER NAVARRO PA-C
Physician Assistant
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 866-3600
CHANEL GREEN PA-C
Physician Assistant
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 866-3600
CINDY QUANT
Physician Assistant
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 866-3600
JOSE ANGEL ZAVALA
Physician Assistant
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 645-9334
SANO MEDICAL CLINIC, INC.
Family Medicine
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (714) 743-8022
JAMES STIRBL MD
Family Medicine
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 645-9334
SANO MEDICAL CLINIC
Clinic/Center (Primary Care)
700 W 19TH ST
COSTA MESA, CA 92627
Orange County (949) 355-1715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Petersen's NPI number?

The NPI number for Stacy Petersen is 1144719527. It was assigned to this individual provider in the NPPES registry on May 1, 2018.

Where is Stacy Petersen located?

Stacy Petersen practices at 700 W 19th St, Costa Mesa, CA 92627. The listed phone number is (949) 645-4646.

What is Stacy Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacy Petersen was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.