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

Individual provider Physician Assistant · NPI 1972595478

Andrea Marisa Stallings, MSPAC is a Physician Assistant in LA Mesa, California. Qualified in 2002, 24 years ago. Practices with Regents of the University of California, a 2,061-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2005
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Practice location Address checks out

8851 Center Dr Ste 404
LA Mesa, CA 91942
Phone: (619) 463-1293
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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 PA16540 (CA)

Record details

NPI number1972595478
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPAC
Sole proprietorNo
NPI enumeratedAugust 19, 2005
Last updated in NPPESOctober 23, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Regents Of The University Of California — 2061 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in LA Mesa