STACEY DASILVA
NPI 1255793378
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, CTA7D, LOS ANGELES, CA 90089(310) 226-5707 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Mar 28, 2016 (2 updates tracked since 2016).

About Stacey Dasilva NPPES

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

STACEY DASILVA (NPI 1255793378) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2016).

NPPES Registry Identity

NPI1255793378
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTACEY DASILVA
Location Address1200 N STATE ST, CTA7DLos Angeles, CA 90089-1001
Mailing Address1200 N State St, Cta7dLos Angeles, CA 90089-1001
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPI 1255793378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
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.
1200 N STATE ST, Los Angeles, CA 90089

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Stacey Dasilva is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709218597
PECOS Enrollment IDI20200616000990
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.

Other Providers at the Same Location NPPES 20

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

Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Obstetrics & Gynecology
1200 N STATE ST
LOS ANGELES, CA 90089

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 Stacey Dasilva's NPI number?

The NPI number for Stacey Dasilva is 1255793378. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Stacey Dasilva located?

Stacey Dasilva practices at 1200 N State St Cta7d, Los Angeles, CA 90089. The listed phone number is (310) 226-5707.

What is Stacey Dasilva's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stacey Dasilva enrolled in Medicare?

Yes. Stacey Dasilva is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stacey Dasilva was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.