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

Dominique Stall, NP

Individual provider Acute Care Nurse Practitioner · NPI 1225874753

Dominique Stall, NP is a Nurse Practitioner in Stanford, California. Qualified in 2024, 2 years ago. Practices with Stanford Health Care, a 3,085-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

300 Pasteur Dr
Stanford, CA 94305-2200
Phone: (650) 723-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Pasteur Dr, Palo Alto, CA 94304-1048 — (650) 724-4750

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95030679 (CA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95030679 (CA)

Record details

NPI number1225874753
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 3, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing address300 Pasteur Dr, Stanford, CA 94305-2200

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Stanford Health Care — 3085 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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