Trina A. Stacey, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC19996 Issued in CA

Practice address

11300 W Olympic Blvd Ste 880
Los Angeles, CA 90064-1644

Phone

(310) 444-9210

Fax

(310) 444-9250

NPI assigned

Oct 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245310358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 W OLYMPIC BLVD STE 880",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641644",
            "telephone_number": "310-444-9210",
            "fax_number": "310-444-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 W OLYMPIC BLVD STE 880",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641644",
            "telephone_number": "310-444-9210",
            "fax_number": "310-444-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACEY",
        "first_name": "TRINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC19996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SECURITY HEALTH",
            "identifier": "5618",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merry Ann Sabiaga Sta Maria
• Nydia Sulit Sta Maria, PHARM.D.
• Andrea Staack, M.D.
• Stacey Kuhl Wochner, a Licensed Clinical Social Worker Corporation
• Ryan Mitchell Stacey, CCAPP RT1441630426
• Tanasha Stachelczyk
• Brian Stachowiak, LMFT
• Alyson Nicole Stack, M.S., LMFT
• Lynda Basile Stack, RN
• Brittany Stackpoole, NURSE PRACTITIONER

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.