Healthcare Provider Details

I. General information

NPI: 1821550609
Provider Name (Legal Business Name): STEPHANIE RAE BYRNE MD, MPH, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEPHANIE RAE MORLEY MD, MPH, MBA

II. Dates (important events)

Enumeration Date: 04/02/2019
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1505 SAINT ALPHONSUS WAY
ALAMO CA
94507-1570
US

IV. Provider business mailing address

1450 TREAT BLVD STE 300
WALNUT CREEK CA
94597-2168
US

V. Phone/Fax

Practice location:
  • Phone: 925-838-7337
  • Fax:
Mailing address:
  • Phone: 925-952-2828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD485561
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA177273
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: