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

Stacy McDaniel

Individual provider Community Health Worker · NPI 1063234078

Stacy McDaniel is a Community Health Worker in Oakland, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

390 40th St
Oakland, CA 94609-2633
Phone: (510) 613-3300
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1063234078
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

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