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

Individual provider Medical Physician Assistant · NPI 1104222124

Mrs. Stacey Marie Shoop, MD is a Medical Physician Assistant in Santa Ana, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2621 S Bristol St Ste 108
Santa Ana, CA 92704-5718
Phone: (714) 754-1684
Fax: (714) 966-0417
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Additional practice locations (1)

  • 11263 Stonecress Ave, Fountain Valley, CA 92708-2448 — (714) 415-8216

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA52143 (CA)

Record details

NPI number1104222124
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 19, 2014
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024

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