STEPHANIE HADIMULIA
NPI 1619703477
Physician Assistant in Fontana, CA

Q: What is Stephanie Hadimulia's NPI number?

The NPI number for Stephanie Hadimulia is 1619703477. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Q: What is Stephanie Hadimulia's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 10, 2024

16465 SIERRA LAKES PKWY STE 115, FONTANA, CA 92336(909) 823-8000(909) 823-8088 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Apr 2, 2026, Sep 10, 2024 (3 updates tracked since 2024).

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About Stephanie Hadimulia NPPES

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

STEPHANIE HADIMULIA (NPI 1619703477) is an individual physician assistant in Fontana, California, licensed in California (PA68068) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1619703477

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTEPHANIE HADIMULIA

Location Address16465 SIERRA LAKES PKWY STE 115Fontana, CA 92336-1242

Mailing Address16465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242 · (909) 972-5558

Phone(909) 823-8000

Fax(909) 823-8088

Sole ProprietorNo

Enumeration DateSeptember 10, 2024

Last NPPES UpdateMay 5, 20263 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1619703477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA68068

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

16465 SIERRA LAKES PKWY STE 115, Fontana, CA 92336

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Other Providers at the Same Location NPPES 15

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

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