Stefaniya Tabanlieva, N.P.
NPI 1508617630 · Gerontology Nurse Practitioner · San Diego, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stefaniya Tabanlieva, N.P. is a Gerontology Nurse Practitioner provider in San Diego, CA (NPI 1508617630).
Provider details
- NPI number
- 1508617630
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- APRN11029241 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 1000 Fivepoint Ste aIrvine, CA 92618-2621Phone: (949) 671-8000
- 9300 Campus Point DrLa Jolla, CA 92037-1300Phone: (800) 926-8273Fax: (888) 539-8781
Registry dates
- Enumerated
- 2024-03-28
- Last updated
- 2025-12-08
- Certified
- 2025-12-08
Frequently asked questions
- What is Stefaniya Tabanlieva's NPI number?
- Stefaniya Tabanlieva's National Provider Identifier (NPI) is 1508617630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stefaniya Tabanlieva's specialty?
- Stefaniya Tabanlieva is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Stefaniya Tabanlieva located?
- Stefaniya Tabanlieva's practice location on file with NPPES is 200 W Arbor Dr, San Diego, CA 92103-9000.
- What is Stefaniya Tabanlieva's phone number?
- The practice phone number listed in the NPPES registry for Stefaniya Tabanlieva is (800) 926-8273.
- Does Stefaniya Tabanlieva accept Medicare?
- Stefaniya Tabanlieva is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stefaniya Tabanlieva's NPI active?
- Yes — Stefaniya Tabanlieva's NPI (1508617630) is active in the NPPES registry as of the last update on 2025-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.