Active NPI
Stacey Lee
- Driver
- Colton, CA
National Provider Identifier
1063172120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 1800 E Old Ranch Rd Apt 126
Colton, CA 92324-6464 - Phone
- (213) 278-2243
- NPI assigned
- Dec 29, 2021
- Reactivated
- Jan 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
1800 E Old Ranch Rd Apt 126
Colton, CA 92324-6464
Mailing address
1800 E Old Ranch Rd Apt 126
Colton, CA 92324-6464
Phone (213) 278-2243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A&J Speedy Transportation, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Private Vehicle
- Colton, CA
- NPI 1295487361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1063172120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 E OLD RANCH RD APT 126",
"city": "COLTON",
"state": "CA",
"postal_code": "923246464",
"telephone_number": "213-278-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E OLD RANCH RD APT 126",
"city": "COLTON",
"state": "CA",
"postal_code": "923246464",
"telephone_number": "213-278-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "STACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-29",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"deactivation_date": "2021-12-30",
"reactivation_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.