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DR. STACY REDDAN D.O.
NPI 1659677284
Family Medicine in San Diego, CA

Active since January 29, 2011
1885 SEFTON PL, SAN DIEGO, CA 92107(619) 550-7255(619) 225-2252 Get Directions Write a Review

NPPES record last updated: January 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stacy Reddan D.o. NPPES

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

DR. STACY REDDAN D.O. (NPI 1659677284) is an individual family medicine provider in San Diego, California, licensed in California (20A 6366) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1659677284
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STACY REDDANCredential: D.O.
Location Address1885 SEFTON PLSan Diego, CA 92107-2623
Mailing Address1885 Sefton PlSan Diego, CA 92107-2623 · (619) 550-7255 · Fax (619) 225-2252
Phone(619) 550-7255
Fax(619) 225-2252
Sole ProprietorYes
Enumeration DateJanuary 29, 2011
✔ NPI 1659677284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A 6366
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1885 SEFTON PL, San Diego, CA 92107
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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 Reddan's NPI number?

The NPI number for Stacy Reddan is 1659677284. It was assigned to this individual provider in the NPPES registry on January 29, 2011.

Where is Stacy Reddan located?

Stacy Reddan practices at 1885 Sefton Pl, San Diego, CA 92107. The listed phone number is (619) 550-7255.

What is Stacy Reddan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stacy Reddan was last updated on January 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.