Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619703477 Individual Practitioner Female Practitioner

Stephanie Hadimulia

Physician Assistant • Fontana, CA

Professional Overview & Biography Verified Profile Summary

Stephanie Hadimulia is a registered healthcare professional specializing in Physician Assistant in Fontana, CA. Practice services are available at 16465 SIERRA LAKES PKWY STE 115 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16465 Sierra Lakes Pkwy Ste 115

Fontana, CA 923361242

Telephone 9098238000
Fax 9098238088
Associated Practice Facility / Clinic
🏢 Namita Mohideen Md Inc Facility NPI 1649546144

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fontana, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
101 Specialists

Practicing in Fontana, CA (14617 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA68068

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
NPI 1013408848

Doctor of Medicine (M.D.)

Lisa Hanson

Nurse Practitioner - Family

NPI 1013676048
Emily Hun , PA-C

Physician Assistant - Medical

NPI 1164605093

Physician Assistant (Certified)

Yareli Renovato , MA

Community Health Worker

NPI 1194604835

Master of Arts

NPI 1265642052

Doctor of Osteopathic Medicine (D.O.)

NPI 1306852934

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address May 05, 2026

Registered at 16465 SIERRA LAKES PKWY STE 115, FONTANA, CA 923361242 (Tel: 9099725558)

📍
Updated Practice Location April 02, 2026

Registered at 16465 SIERRA LAKES PKWY STE 115, FONTANA, CA 923361242 (Tel: 9098238000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2026

Physician Assistant (License #PA68068 in CA)

NPI Profile Active September 10, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2024

Registered at 50 ACACIA AVE, SAN RAFAEL, CA 949012230 (Tel: 4154574440)

📍
Updated Business Mailing Address September 10, 2024

Registered at 13256 MURANO AVE, CHINO, CA 917108116 (Tel: 9099725558)

👤
Provider Name / Credentials Updated September 10, 2024

Recorded as STEPHANIE HADIMULIA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 10, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619703477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2024
Last Update: May 05, 2026
Sole Proprietor: No

Mailing Address

16465 Sierra Lakes Pkwy Ste 115

Fontana, CA 923361242

Phone: 9099725558

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.