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STACY ANN SARACENO SLP
NPI 1609112663
Speech-Language Pathologist in Oakland, CA

Active since December 19, 2012
1800 HARRISON ST, OAKLAND, CA 94612(916) 481-6455(877) 738-4262 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2022, Jan 3, 2022 (2 updates tracked since 2022).

About Stacy Ann Saraceno Slp NPPES

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

STACY ANN SARACENO SLP (NPI 1609112663) is an individual speech-language pathologist provider in Oakland, California, licensed in California (19654) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1609112663
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACY ANN SARACENOCredential: SLP
Location Address1800 HARRISON STOakland, CA 94612-3466
Mailing Address3900 Garfield AveCarmichael, CA 95608-6647
Phone(916) 481-6455
Fax(877) 738-4262
Sole ProprietorNo
Enumeration DateDecember 19, 2012
Last NPPES UpdateMarch 3, 20222 updates tracked since enumeration
NPPES CertifiedMarch 3, 2022
✔ NPI 1609112663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 19654
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1800 HARRISON ST, Oakland, CA 94612
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Other Names 1

Former Name (1)Stacy Ann Yelverton

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Ann Saraceno Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Stacy Saraceno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.7 mi
Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1841373800 (415) 833-2200

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

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.

JENNY VONG PHARMD
Pharmacist
1800 HARRISON ST
OAKLAND, CA 94612
Alameda County (916) 600-4771
KHOA DANG VU M.D.
Internal Medicine
1800 HARRISON ST, 7TH FLOOR
OAKLAND, CA 94612
Alameda County (510) 625-5947
CORINNE PAYNE
Pharmacist
1800 HARRISON ST
OAKLAND, CA 94612
Alameda County (510) 987-1000
DR. ELIKA KETABCHI PHARM.D.
Pharmacist
1800 HARRISON ST
OAKLAND, CA 94612
Alameda County (510) 987-1000
ANDREA BAOWANG AJAYI MD
Emergency Medicine
1800 HARRISON ST, 7TH FLOOR
OAKLAND, CA 94612
Alameda County (510) 625-6262
DR. JULIE NGUYEN DO PHARMD
Pharmacist
1800 HARRISON ST
OAKLAND, CA 94612
Alameda County (510) 625-2402
DR. KEVEN MICHAEL MUMM PHARMD
Pharmacist
1800 HARRISON ST
OAKLAND, CA 94612
Alameda County (510) 625-4851
DR. WILLIAM M GALLAGHER PHARM.D.
Pharmacist (Pharmacotherapy)
1800 HARRISON ST, 13TH FLOOR
OAKLAND, CA 94612
Alameda County (510) 625-2361

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 Saraceno's NPI number?

The NPI number for Stacy Saraceno is 1609112663. It was assigned to this individual provider in the NPPES registry on December 19, 2012. The provider is also known as Stacy Ann Yelverton.

Where is Stacy Saraceno located?

Stacy Saraceno practices at 1800 Harrison St, Oakland, CA 94612. The listed phone number is (916) 481-6455.

What is Stacy Saraceno's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Stacy Saraceno enrolled in Medicare?

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

Which organization bills Medicare for Stacy Saraceno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Saraceno reassigns Medicare benefits to Permanente Medical Group Inc (San Francisco, CA). The 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 Saraceno'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 Saraceno was last updated on March 3, 2022. 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.