DR. STACEY WHITE (M.D.) – Emergency Medicine Physician, NPI 1154718013

DR. STACEY WHITE (M.D.) is a healthcare provider. based in San diego, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. A145865 (CA). The NPI Number for DR. STACEY WHITE (M.D.) is 1154718013

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. STACEY WHITE (M.D.)
NPI
1154718013
Phone
(619) 287-3270
Address
6655 ALVARADO RD
Enumeration Date
17 April 2015
Last Update Date
12 October 2018

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
8887323317
Graduation Year
2015 (11 years ago)
PAC ID
9234487562
Group Practice PAC ID
6204256084
Professional Enrollment ID
I20201221002034
Address ID
AZ852970205GI4760XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,790 EMERGENCY MEDICINE in CA

Provider Addresses for DR. STACEY WHITE (M.D.)

  • 6655 ALVARADO RD

    SAN DIEGO, CA 921205208

    Phone: (619) 287-3270

    Type: Location

  • 11234 Anderson St

    GME Office Westerly Suite C

    Loma Linda, CA 923501716

    Phone: (909) 558-4085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-12-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180802002970IEmergency MedicineCATBD
I20201221002034IEmergency MedicineAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making4443$0
99284Emergency department visit with moderate level of medical decision making3434$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3230$0
View full utilization report →

Insurance plans in this area (ZIP 92120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204256084View full group profile
NameSpecialtyState
Emergency MedicineAZ
Emergency MedicineAZ
Emergency MedicineTX
Family PracticeAZ
Family Practice, Emergency MedicineGA
Emergency MedicineAZ
Emergency MedicineCA
Emergency MedicineUT
Emergency MedicineAZ
Family Practice, Emergency MedicineAZ

Reviews

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Frequently asked questions

Can I verify DR. STACEY WHITE (M.D.) with an NPI only?
You can start verification with NPI 1154718013 for DR. STACEY WHITE (M.D.), then check state licensing separately.
Can I rely on DR. STACEY WHITE (M.D.) being an active provider?
As of the registry snapshot, DR. STACEY WHITE (M.D.) is marked active.
What is DR. STACEY WHITE (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. STACEY WHITE (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is DR. STACEY WHITE (M.D.) based?
DR. STACEY WHITE (M.D.) is tied to San Diego, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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