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

Stacey Danielle Little, PA-C

Individual provider Medical Physician Assistant · NPI 1831396415

Stacey Danielle Little, PA-C is a Physician Assistant in Chula Vista, California. Qualified in 2002, 24 years ago. Practices with Brenton D. Wynn, MD Inc, a 4-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

890 Eastlake Pkwy
Chula Vista, CA 91914-4520
Phone: (619) 761-1574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 890 Eastlake Pkwy, Chula Vista, CA 91914-4520 — (619) 761-1574
  • 890 Eastlake Pkwy, Chula Vista, CA 91914-4520 — (619) 761-1574

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA16457 (CA)

Record details

NPI number1831396415
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Brenton D. Wynn, Md Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Chula Vista