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Stacy Dertien
NPI 1326161720 · Case Manager/Care Coordinator · San Diego, CA
Stacy Dertien is a Case Manager/Care Coordinator provider in San Diego, CA (NPI 1326161720).
Provider details
- NPI number
- 1326161720
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5005 Texas St
Ste 203
San Diego, CA 92108-3721
Phone: (619) 692-0727
Fax: (619) 692-0785
Street-level locationGet directions
Mailing address
4609 Muir Ave
San Diego, CA 92107-2216
Registry dates
- Enumerated
- 2007-04-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Stacy Dertien's NPI number?
- Stacy Dertien's National Provider Identifier (NPI) is 1326161720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Dertien's specialty?
- Stacy Dertien is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Stacy Dertien located?
- Stacy Dertien's practice location on file with NPPES is 5005 Texas St, San Diego, CA 92108-3721.
- What is Stacy Dertien's phone number?
- The practice phone number listed in the NPPES registry for Stacy Dertien is (619) 692-0727.
- Is Stacy Dertien's NPI active?
- Yes — Stacy Dertien's NPI (1326161720) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.