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

Dr. Stacy J Berrong, DO

Individual provider Family Medicine Physician · NPI 1760407787

Dr. Stacy J Berrong, DO is a Family Practice in Woodland, California. Qualified in 2001, 25 years ago. Practices with Northern Valley Indian Health Inc, a 35-clinician group. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

632 W Gibson Rd
Woodland, CA 95695
Phone: (530) 666-1631
Fax: (530) 668-2697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A8432 (CA)
Obstetrics Physician Taxonomy 207VX0000X · Licence 20A8432 (CA)

Record details

NPI number1760407787
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESNovember 18, 2015
Mailing address3400 Data Dr 1st, Rancho Cordova, CA 95670-7956

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Northern Valley Indian Health Inc — 35 clinicians
Accepts Medicare assignment Not indicated

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