Stella Detarsio-park, - General Practice in Oakland, CA

Stella Detarsio-park, is a General Practice physician based in Oakland, California. Stella Detarsio-park is licensed to practice in California (license number ND463) and her current practice location is 1 Rio Vista Ave, Oakland, California. She can be reached at her office (for appointments etc.) via phone at (510) 277-7428.

NPI number for Stella Detarsio-park is 1649657826 and her current mailing address is 2601 Blanding Ave, C340, Alameda, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649657826.

Contact Information

Stella Detarsio-park,
1 Rio Vista Ave,
Oakland, CA 94611-5320
(510) 277-7428
Not Available

Map and Direction




Physician's Profile

Full NameStella Detarsio-park
GenderFemale
SpecialityGeneral Practice
Location1 Rio Vista Ave, Oakland, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649657826
  • Provider Enumeration Date: 04/27/2015
  • Last Update Date: 04/27/2015

Medical Identifiers

Medical identifiers for Stella Detarsio-park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649657826NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ND463 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stella Detarsio-park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stella Detarsio-park,
2601 Blanding Ave, C340,
Alameda, CA 94501-1579

Ph: (510) 277-7428
Stella Detarsio-park,
1 Rio Vista Ave,
Oakland, CA 94611-5320

Ph: (510) 277-7428

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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