Stephani Marie Cerverizzo-Sanford

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-YNQAJE Issued in CA

Practice address

771 W Blaine St Ste D
Riverside, CA 92507-3940

Phone

(951) 955-2233

NPI assigned

Aug 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1245014646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 W BLAINE ST STE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073940",
            "telephone_number": "951-955-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 W BLAINE ST STE D",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073940",
            "telephone_number": "951-955-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVERIZZO-SANFORD",
        "first_name": "STEPHANI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-YNQAJE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danery Cervantes
• Edgar J Cervantes, LMFT
• Livia Rei Cervantes
• Marissa Cervantes
• Vanessa Cervantes
• Theresa M. Cervinski, O.D.
• Carolina Cesena, AMFT,APCC
• Adair Chacon
• Andrea Chacon
• Clara Chae, M.D

• Peer Specialist in Riverside, CA
• Providers in Riverside, CA by specialty
• Peer Specialist in California

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