Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis J Stader, PA

Individual provider Physician Assistant · NPI 1891383931

Alexis J Stader, PA is a Physician Assistant in Mission Hills, California. Qualified in 2020, 6 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
6
Licensed in
CA, OH
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11333 N Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone: (818) 869-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA58925 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 58925 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 50.006568RX (OH)

Record details

NPI number1891383931
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESJuly 24, 2024
Certification dateMay 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Facey Medical Foundation — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Mission Hills