Individual provider Active NPI

Stacy Fabiola Rangel

  • Case Manager/Care Coordinator
  • Commerce, CA
National Provider Identifier
1497498935
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
972 Goodrich Blvd
Commerce, CA 90022-4114
Phone
(888) 499-9303
NPI assigned
Apr 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

972 Goodrich Blvd
Commerce, CA 90022-4114

Mailing address

2040 Camfield Ave
Commerce, CA 90040-1502

Other practice location 1

1300 S Sunset Ave
West Covina, CA 91790-3342
Phone (888) 499-9303

Other practice location 2

3945 Whittier Blvd
Los Angeles, CA 90023-2440
Phone (888) 499-9303

Other practice location 3

10418 Valley Blvd Ste B
El Monte, CA 91731-3600
Phone (888) 499-9303

Other practice location 4

2100 W 3rd St Ste 400
Los Angeles, CA 90057-2290
Phone (888) 499-9303

Other practice location 5

9436 Slauson Ave
Pico Rivera, CA 90660-4748
Phone (888) 499-9303

Other practice location 6

8627 Atlantic Ave
South Gate, CA 90280-3501
Phone (888) 499-9303

Other identifiers 6

IdentifierTypeStateIssuer
1730481318MedicaidCA
1902267479MedicaidCA
1255542601MedicaidCA
1710191283MedicaidCA
1770006728MedicaidCA
1982814745MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://altamedhealth.sharepoint.com/?wa=wsignin1.0 Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1497498935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 CAMFIELD AVE",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900401502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 GOODRICH BLVD",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900224114",
            "telephone_number": "888-499-9303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S Sunset Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903342",
            "country_code": "US",
            "telephone_number": "888-499-9303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3945 Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900232440",
            "country_code": "US",
            "telephone_number": "888-499-9303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10418 Valley Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "El Monte",
            "state": "CA",
            "postal_code": "917313600",
            "country_code": "US",
            "telephone_number": "888-499-9303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 W 3rd St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900572290",
            "country_code": "US",
            "telephone_number": "888-499-9303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9436 Slauson Ave",
            "address_purpose": "LOCATION",
            "city": "Pico Rivera",
            "state": "CA",
            "postal_code": "906604748",
            "country_code": "US",
            "telephone_number": "888-499-9303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8627 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "South Gate",
            "state": "CA",
            "postal_code": "902803501",
            "country_code": "US",
            "telephone_number": "888-499-9303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "STACY",
        "middle_name": "FABIOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-05-19",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730481318",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902267479",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255542601",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710191283",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770006728",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982814745",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://altamedhealth.sharepoint.com/?wa=wsignin1.0",
            "affiliation": "N",
            "endpointDescription": "https://altamedhealth.sharepoint.com/?wa=wsignin1.0",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "972 Goodrich Blvd",
            "city": "Commerce",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900224114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Commerce, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.