Individual provider Active NPI

Stacey Amber Flores, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Cruz, CA
National Provider Identifier
1063294668
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95027682 Issued in CA
Practice address
877 Cedar St Ste 150F
Santa Cruz, CA 95060-3938
Phone
(831) 610-4034
NPI assigned
Oct 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95027682 CA Primary

Addresses

Primary practice location

877 Cedar St Ste 150F
Santa Cruz, CA 95060-3938

Mailing address

877 Cedar St Ste 150F
Santa Cruz, CA 95060-3938
Phone (831) 588-2908

Other practice location 1

1885 Lundy Ave Ste 223
San Jose, CA 95131-1888
Phone (408) 284-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207003058 CA Practitioner - Nurse Practitioner 1557891322 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95027682CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Psychiatric/Mental Health CurrentSince Dec 24, 2024 Accepting new patients
Haumea Medical, Inc. CurrentSince May 18, 2025 Accepting new patients
LGTC Group PastSince Nov 1, 2024 Accepting new patients
MSK Solutions PastSince Feb 13, 2022 Accepting new patients

Locations

1257 Pleasant Grove Blvd
Ste 110
Roseville, CA 95678
Phone (916) 980-6814

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1063294668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 CEDAR ST STE 150F",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603938",
            "telephone_number": "831-588-2908",
            "fax_number": "831-480-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 CEDAR ST STE 150F",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603938",
            "telephone_number": "831-610-4034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1885 Lundy Ave Ste 223",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951311888",
            "country_code": "US",
            "telephone_number": "408-284-9000",
            "fax_number": "408-284-9073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORES",
        "first_name": "STACEY",
        "middle_name": "AMBER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95027682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.