Traci L Stevenson
Medical Specialty
Professional ID
- NPI: 1669777512
- PECOS ID: 8426295288
- Enrollment ID: I20130515000150
- Credential(MD, DO, DPM):
- Medical School: Mid West Medical College
- Medical School Graduation Year: 1997
Hospital Service
- Hospital CCN1: 050547
- Business Name (LBN)1: Sonoma Developmental Center
- Hospital CCN2: 050090
- Business Name (LBN)2: Sonoma Valley Hospital
Medical Practices
- Organization Name: State Of California - Department Of Developmental Services
- Group Practice ID assigned by PECOS: 4082788732
- Number of Group Practice member: 64
Location
- Address1: 15000 Arnold Dr
- Address2:
- City: Eldridge
- State: California
- Zip Code: 95431
- Phone Number: (707)938-6840
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):