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

Mazie-Rose Coloma

Individual provider Nurse Practitioner · NPI 1851901037

Mazie-Rose Coloma is a Nurse Practitioner in Stanford, California. Qualified in 2020, 6 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Hawaii.

Years since qualifying
6
Licensed in
CA, HI
In the registry since
2020
Specialties on file
2
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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)

  • 91-2141 Fort Weaver Rd, Ewa Beach, HI 96706-1993 — (808) 691-3000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95021344 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 2977 (HI)

Record details

NPI number1851901037
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2020
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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