Stephen Custis

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

194345 Issued in CA

Practice address

359 Camino de la Luna
Perris, CA 92571-2993

Phone

(951) 867-0141

NPI assigned

Aug 18, 2026

Sex

Male

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

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1497660898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 CAMINO DE LA LUNA",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 CAMINO DE LA LUNA",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712993",
            "telephone_number": "951-867-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTIS",
        "first_name": "STEPHEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "194345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nersi Orioly Cruz-Maldonado
• Peewee Del Corro Cruz
• Carlos Enrique Cullampe Torrejon, D.D.S
• Washington Cullampe, DDS
• Robyn Curl
• Kadiatou Dafney, FNP
• Ron Anthony Dailey, MSW
• Fedelia Daiz
• Miriam J Dalton
• Mia Dang

• Licensed Vocational Nurse in Perris, CA
• Providers in Perris, 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 18, 2026; 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.