Stacey Warren Neal

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

658 E Brier Dr Ste 350
San Bernardino, CA 92408-2875

Phone

(800) 398-0018

NPI assigned

Nov 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Hesperia, CA
  • NPI 1215373055
  NPD (past)

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1114635695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11648 HALTER ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928116",
            "telephone_number": "760-956-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 E BRIER DR STE 350",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082875",
            "telephone_number": "800-398-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "STACEY",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fasiha Nazir
• Sami Barham Nazzal, M.D.
• Chuks Larry Ndah
• Jamie M Neal, LCSW
• Lashonda Neal, RN
• Candice M Neeri, RDN
• Kenneth William Neff, M.D.
• Araly A Negrete Garcia
• Pilar A Negrete
• Victor Manuel Negrete

• Case Manager/Care Coordinator in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.