MR. JAMES DEAN STALIANS AGNP
NPI 1720630197
Nurse Practitioner - Gerontology in Modesto, CA
About Mr. James Dean Stalians Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JAMES DEAN STALIANS AGNP (NPI 1720630197) is an individual gerontology provider in Modesto, California, licensed in California (95010123) and active in the NPI registry since July 2019.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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.
MODESTO, CA 95350
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 James Stalians's NPI number?
The NPI number for James Stalians is 1720630197. It was assigned to this individual provider in the NPPES registry on July 15, 2019. The provider is also known as Mrs. Jim Stalians Agnp.
Where is James Stalians located?
James Stalians practices at 1540 Florida Ave, Modesto, CA 95350. The listed phone number is (866) 682-4842.
What is James Stalians's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
When was this NPI record last updated?
The NPPES record for James Stalians was last updated on July 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. James Dean Stalians, AGNP · NPI 1720630197
Gerontology physician in Modesto, California. Individual provider, active in the CMS NPPES registry since July 15, 2019.
## Identity
- **NPI:** 1720630197 (Entity type: Individual)
- **Enumerated:** July 15, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 95010123 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1540 FLORIDA AVE, Modesto, CA 95350-4430
- **Phone:** (866) 682-4842
## Record status
- **NPPES last updated:** July 15, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1720630197) · Data from the CMS NPPES public registry.