Individual ProviderKelli StagerPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address6167 Bristol Pkwy Ste 260, Culver City, CA 90230-6616(424) 331-5604(925) 944-9711PECOS EnrollmentBased on the most recent information from CMS, provider Kelli Stager does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 33 days ago.Profile DetailsProvider ID1720668593Provider TypeIndividualFull NameStager, KelliGenderFemaleSole ProprietorNoEnumeration Date4/14/2021Last Updated10/29/2025Contact InformationPractice LocationPractice Address6167 Bristol Pkwy Ste 260, Culver City, CA 90230-6616Phone(424) 331-5604Fax(424) 331-5600Mailing LocationMailing Address3100 Oak Rd Ste 270, Walnut Creek, CA 94597-2078Phone(925) 944-9711Fax(424) 331-5600Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA183161CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer