MRS. STACEY MARIE SHOOP M.D.
NPI 1104222124
Physician Assistant - Medical in Santa Ana, CA
NPI Status: Active since November 19, 2014
Contact Information
2621 S BRISTOL ST
STE 108
SANTA ANA, CA
ZIP 92704
Phone: (714) 754-1684
Fax: (714) 966-0417
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About STACEY SHOOP
This page provides the complete NPI Profile along with additional information for Stacey Shoop, a primary care provider established in Santa Ana, California with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1104222124 assigned on November 2014. The practitioner's primary taxonomy code is 363AM0700X with license number PA52143 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104222124
- Provider Name
- MRS. STACEY MARIE SHOOP M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2621 S BRISTOL ST STE 108 SANTA ANA, CA 92704
- Location Phone
- (714) 754-1684
- Location Fax
- (714) 966-0417
- Mailing Address
- 2621 S BRISTOL ST STE 108 SANTA ANA, CA 92704
- Mailing Phone
- (714) 754-1684
- Mailing Fax
- (714) 966-0417
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-19-2014
- Last Update Date
- 07-24-2024
- Code Navigator
A primary care provider (PCP) like Stacey Shoop sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 11263 Stonecress Ave
Fountain Valley, CA 92708
(714) 415-8216
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA52143
- License State
- CA
Medicare Participation & PECOS Enrollment Status
Stacey Shoop is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
5 DME suppliers used 12 Medicare Claims 36 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
2 DME suppliers used 11 Medicare Claims 36 Services Paid
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
2 DME suppliers used 25 Medicare Claims 27 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
2 DME suppliers used 12 Medicare Claims 12 Services Paid
Reviews for MRS. STACEY MARIE SHOOP M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 2 | 2 | 2 | 1 | 2 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 4 | 2 | 4 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 4 + 2 + 4 + 1 + 4 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1104222124 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811996523 | DR. ROSE MARIA CUNNINGHAM-AHUMADA D.O. Individual | Ophthalmology | 2621 S BRISTOL ST SUITE 205 SANTA ANA, CA 92704 (714) 557-5777 |
| 1952386781 | RAOUF F ISKANDER MD INC Organization | Otolaryngology (Plastic Surgery within the Head & Neck) | 2621 S BRISTOL ST STE 206 SANTA ANA, CA 92704 (714) 556-0678 |
| 1639148026 | JERROLD D CANTOR MD INC Organization | Internal Medicine (Cardiovascular Disease) | 2621 S BRISTOL ST STE 305 SANTA ANA, CA 92704 (714) 751-0034 |
| 1699738385 | DR. MARTIN BACKMAN M.D. Individual | Psychiatry & Neurology (Neurology) | 2621 S BRISTOL ST SANTA ANA, CA 92704 (714) 540-1840 |
| 1922062074 | H.M. SUNG M.D. INC. Organization | Preferred Provider Organization | 2621 S BRISTOL ST SUITE 109 SANTA ANA, CA 92704 (714) 754-0310 |
| 1104831965 | NEUROLOGY DOCTORS OF CALIFORNIA, INC. Organization | Specialist | 2621 S BRISTOL ST # 105 SANTA ANA, CA 92704 (714) 540-1840 |
| 1184735102 | DR. DAVID C YANG MD Individual | Pediatrics | 2621 S BRISTOL ST SUITE 306 SANTA ANA, CA 92704 (714) 556-1882 |
| 1023183480 | ALAN C SCHWARTZ MD Individual | Internal Medicine | 2621 S BRISTOL ST #307 SANTA ANA, CA 92704 (714) 918-3070 |
| 1174679393 | HON YU, M.D., INC. Organization | Internal Medicine | 2621 S BRISTOL ST SUITE 208 SANTA ANA, CA 92704 (714) 210-2450 |
| 1598977654 | STRONGKIDS MEDICAL GROUP, INC. Organization | Pediatrics | 2621 S BRISTOL ST SUITE 308 SANTA ANA, CA 92704 (714) 754-4033 |
| 1063692150 | DR. HUNG-MIN SUNG M.D. Individual | Internal Medicine | 2621 S BRISTOL ST SUITE 109 SANTA ANA, CA 92704 (714) 754-0310 |
| 1689845273 | DAVID C. YANG, M.D., INC. Organization | Pediatrics | 2621 S BRISTOL ST SUITE 306 SANTA ANA, CA 92704 (714) 556-1882 |
| 1295026078 | PATHWAY MEDICAL GROUP, INC. Organization | Internal Medicine (Geriatric Medicine) | 2621 S BRISTOL ST #203 SANTA ANA, CA 92704 (714) 662-2256 |
| 1548555840 | SING L TUNG M.D. A PROFESSIONAL CORPORATION Organization | Clinic/Center (Medical Specialty) | 2621 S BRISTOL ST STE 202 SANTA ANA, CA 92704 (714) 754-0498 |
| 1801168000 | HUEY C LIN MD INC Organization | Urology | 2621 S BRISTOL ST SUITE 207 SANTA ANA, CA 92704 (714) 557-0703 |
| 1275949638 | MARTIN J BACKMAN MD MED CORP Organization | Psychiatry & Neurology (Neurology) | 2621 S BRISTOL ST STE 105 SANTA ANA, CA 92704 (714) 540-1840 |
| 1285777813 | ROBERT M CASTRO DO Individual | Internal Medicine | 2621 S BRISTOL ST SUITE 108 SANTA ANA, CA 92704 (714) 754-1684 |
| 1386195105 | MA ANGELICA CUYUGAN Individual | Nurse Practitioner (Family) | 2621 S BRISTOL ST SUITE 202 SANTA ANA, CA 92704 (657) 900-4536 |
| 1518400795 | HYUNG O. KIM, M. D. INC Organization | Obstetrics & Gynecology | 2621 S BRISTOL ST SUITE 300-302 SANTA ANA, CA 92704 (714) 540-7720 |
| 1932316510 | PAN & PAN MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION Organization | Surgery | 2621 S BRISTOL ST SUITE 208 SANTA ANA, CA 92704 (714) 540-0301 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104222124, enumerated in the NPI registry as an "individual" on November 19, 2014
The provider is located at 2621 S Bristol St Ste 108 Santa Ana, Ca 92704 and the phone number is (714) 754-1684
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on November 19, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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