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STELLA DETARSIO-PARK
NPI 1649657826
General Practice in Oakland, CA

Active since April 27, 2015
1 RIO VISTA AVE, OAKLAND, CA 94611(510) 277-7428 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stella Detarsio-park NPPES

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

STELLA DETARSIO-PARK (NPI 1649657826) is an individual general practice provider in Oakland, California, licensed in California (ND463) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1649657826
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSTELLA DETARSIO-PARK
Location Address1 RIO VISTA AVEOakland, CA 94611-5320
Mailing Address2601 Blanding Ave, C340Alameda, CA 94501-1579 · (510) 277-7428
Phone(510) 277-7428
Sole ProprietorYes
Enumeration DateApril 27, 2015
✔ NPI 1649657826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · ND463
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1 RIO VISTA AVE, Oakland, CA 94611
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Other Providers at the Same Location NPPES 3

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

JULIE ORMAN CHIROPRACTIC CORPORATION
Chiropractor
1 RIO VISTA AVE
OAKLAND, CA 94611
Alameda County (510) 654-2399
DR. MONG-DAN DINH NGUYEN D.C.
Chiropractor
1 RIO VISTA AVE
OAKLAND, CA 94611
Alameda County (510) 493-5433
JULIE ORMAN D.C.
Chiropractor
1 RIO VISTA AVE
OAKLAND, CA 94611
Alameda County (510) 654-2399

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 Stella Detarsio-park's NPI number?

The NPI number for Stella Detarsio-park is 1649657826. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Stella Detarsio-park located?

Stella Detarsio-park practices at 1 Rio Vista Ave, Oakland, CA 94611. The listed phone number is (510) 277-7428.

What is Stella Detarsio-park's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Stella Detarsio-park was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.