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

Stella Detarsio-Park

Individual provider General Practice Physician · NPI 1649657826

Stella Detarsio-Park is a General Practice Physician in Oakland, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

1 Rio Vista Ave
Oakland, CA 94611-5320
Phone: (510) 277-7428
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ND463 (CA)

Record details

NPI number1649657826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 27, 2015
Last updated in NPPESApril 27, 2015

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