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

Stacy MA, MD

Individual provider Pediatrics Physician · NPI 1871174680

Stacy MA, MD is a Pediatrics Physician in Marina del Rey, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

13160 Mindanao Way Ste 315
Marina del Rey, CA 90292-7907
Phone: (310) 301-6310
Fax: (310) 301-6315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4650 W Sunset Blvd # 68, Los Angeles, CA 90027-6062 — (323) 660-2450

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A193432 (CA)

Record details

NPI number1871174680
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

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