Stacey Leigh Trejo

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2890 Inland Empire Blvd Ste 100
Ontario, CA 91764-4649

Phone

(909) 233-7265

NPI assigned

Jun 4, 2024

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Building Bridges Foster Family Agency

  • Foster Care Agency
  • Rancho Cucamonga, CA
  • NPI 1306322896
  NPD
• Building Bridges Foster Family Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ontario, CA
  • NPI 1336809466
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1184465155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LEMON AVE APT 2425",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373843",
            "telephone_number": "760-889-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 INLAND EMPIRE BLVD STE 100",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644649",
            "telephone_number": "909-233-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "STACEY",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melva Travis, M.A
• Harrison Trawnik
• Sheeshe Traylor
• Lisa Treadway
• Pamela Trejo Corona
• Tina Trejo
• Jessica Trevino
• Mayra Triana
• Nicholas Vince Ramas Trieu, DDS
• Andre Vinsensius Trigno, PT, DPT

• Social Worker in Ontario, CA
• Providers in Ontario, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.