Active NPI
Stacy Hurtado
- Clinical Social Worker
- Fullerton, CA
National Provider Identifier
1366286684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW131877
- Practice address
- 801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846 - Phone
- (714) 680-9000
- Fax
- (714) 680-8233
- NPI assigned
- Jun 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Social Worker | 1041C0700X | ASW131877 | CA | Primary |
Addresses
Primary practice location
801 E Chapman Ave Ste 203
Fullerton, CA 92831-3846
Mailing address
3355 N White PO Box 62
La Verne, CA 91750
Phone (909) 568-7803
Other practice location 1
1556 S Sultana Ave
Ontario, CA 91761-4238
Phone (909) 418-6923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW131877 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1366286684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 N WHITE PO BOX 62",
"city": "LA VERNE",
"state": "CA",
"postal_code": "91750",
"telephone_number": "909-568-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 E CHAPMAN AVE STE 203",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313846",
"telephone_number": "714-680-9000",
"fax_number": "714-680-8233"
}
],
"practiceLocations": [
{
"address_1": "1556 S Sultana Ave",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917614238",
"country_code": "US",
"telephone_number": "909-418-6923",
"fax_number": "909-418-6937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURTADO",
"first_name": "STACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-21",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW131877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.