Stacy Silva, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

288657 Issued in CA

Practice address

2275 E Cooley Dr
Colton, CA 92324-6324

Phone

(909) 370-1777

NPI assigned

Aug 1, 2022

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

State licenses

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1255068243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 SUGAR PINE LN",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244541",
            "telephone_number": "909-254-1917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 E COOLEY DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246324",
            "telephone_number": "909-370-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "STACY",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "288657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Sidhu
• Stella Sien, D.O.
• Carlos Alberto Siezar Jr.
• Paola Guadalupe Silva-Serrano
• Adrianna Silva
• Genny Sim
• Marvin P Simandjuntak
• Jeperson Simanjuntak
• Saverio Simari Jr., MPT
• Sondang Simbolon

• Licensed Vocational Nurse in Colton, CA
• Providers in Colton, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.