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

Stephanie Hsieh

Individual provider Physician Assistant · NPI 1720868045

Stephanie Hsieh is a Physician Assistant in Gualala, California. Qualified in 2023, 3 years ago. Practices with Imperial Beach Community Clinic, a 21-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

38001 Old Stage Rd
Gualala, CA 95445-8543
Phone: (707) 412-3176
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 63007 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA63007 (CA)

Record details

NPI number1720868045
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 3, 2023
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Imperial Beach Community Clinic — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gualala