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

MS. Stacey Pratt, MPA

Individual provider Physician Assistant · NPI 1619200128

MS. Stacey Pratt, MPA is a Physician Assistant in Los Angeles, California. Graduated from Eastern Virginia Medical School in 2009, 17 years ago. Practices with Iora Senior Health LLC, a 125-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, California, Colorado and Georgia and 8 more.

Years since qualifying
17
Trained at
Eastern Virginia Medical School
Licensed in
AZ, CA, CO, GA, MA, MD
In the registry since
2009
Specialties on file
12
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Practice location Address checks out

818 W 7th St Ste 930
Los Angeles, CA 90017-3476
Phone: (646) 586-9908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2241 Wankel Way Ste C, Oxnard, CA 93030 — (805) 983-0922
  • 156 W 56th St Ste 1000, New York, NY 10019-3936 — (646) 586-9908

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110003132 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-12869 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA100237 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 9042 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA17043 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 028296 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA61433652 (WA)
Physician Assistant Taxonomy 363A00000X · Licence C08341 (MD)
Physician Assistant Taxonomy 363A00000X · Licence 11549 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA.0007864 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 53299 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 4698 (SC)

Record details

NPI number1619200128
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPA
Sole proprietorNo
NPI enumeratedSeptember 15, 2009
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Iora Senior Health Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations28 on file with Medicare

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