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STACY MARIE YADAVA M.D.
NPI 1154689677
Obstetrics & Gynecology - Maternal & Fetal Medicine in Stockton, CA

Active since May 03, 2012PECOS Enrolled
1617 N CALIFORNIA ST STE 2D, STOCKTON, CA 95204(209) 933-9888 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 21, 2019, Aug 7, 2017 (2 updates tracked since 2017).

About Stacy Marie Yadava M.d. NPPES

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

STACY MARIE YADAVA M.D. (NPI 1154689677) is an individual maternal & fetal medicine provider in Stockton, California, licensed in California (A128209) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154689677
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameSTACY MARIE YADAVACredential: M.D.
Location Address1617 N CALIFORNIA ST STE 2DStockton, CA 95204
Mailing AddressPo Box 967Lodi, CA 95241-0967 · (209) 334-1800 · Fax (209) 334-2416
Phone(209) 933-9888
Sole ProprietorYes
Enumeration DateMay 3, 2012
Last NPPES UpdateSeptember 26, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1154689677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in CA · A128209
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A128209 (CA)
1617 N CALIFORNIA ST STE 2D, Stockton, CA 95204
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Secondary Practice Locations 2

Location 1751 S Bascom Ave, Santa Clara Valley Medical CenterSan Jose, CA 95128-2604 · Phone (415) 246-6240
Location 21617 N California St Ste 2DStockton, CA 95204 · Phone (209) 933-9888

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Marie Yadava M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Stacy Yadava reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Perinatal & Genetic Diagnostic Center Medical Group, Inc.
Same address
Maternal & Fetal Medicine
1617 N CALIFORNIA ST STE 2C
Stockton, CA 95204
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1265768980 (209) 933-9888
Permanente Medical Group Inc
3.4 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000
Sutter Valley Medical Foundation
28 mi
Multi-Specialty
600 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 3,056 clinicians in this Medicare group
NPI 1669846986 (209) 524-1211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

LUCKEY CONNOR REED M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1617 N CALIFORNIA ST STE 2D
STOCKTON, CA 95204
San Joaquin County (209) 933-9888
JASBIR SINGH GILL
Obstetrics & Gynecology
1617 N CALIFORNIA ST STE 2D
STOCKTON, CA 95204
San Joaquin County (209) 933-9888

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 Yadava's NPI number?

The NPI number for Stacy Yadava is 1154689677. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Where is Stacy Yadava located?

Stacy Yadava practices at 1617 N California St Ste 2D, Stockton, CA 95204. The listed phone number is (209) 933-9888.

What is Stacy Yadava's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Stacy Yadava enrolled in Medicare?

Yes. Stacy Yadava is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stacy Yadava's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Yadava reassigns Medicare benefits to 3 organizations: Valley Perinatal & Genetic Diagnostic Center Medical Group, Inc. (Stockton, CA), Permanente Medical Group Inc (Stockton, CA) and Sutter Valley Medical Foundation (Modesto, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Yadava's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Yadava was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.