Stephanie Michelle Moran

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

790 S State St Ste 6
San Jacinto, CA 92583-4924

Phone

(951) 654-6002

Fax

(951) 602-8195

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institute for Family Centered Services Inc

  • Community/Behavioral Health Agency
  • San Jacinto, CA
  • NPI 1336896505

  Case Manager/Care Coordinator

  NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1609688530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24382 DORNER DR",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533324",
            "telephone_number": "562-526-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 S STATE ST STE 6",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834924",
            "telephone_number": "951-654-6002",
            "fax_number": "951-602-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Alan Monte, D.O.
• Tanna Victoria Montecino, LMFT
• Melinda Montes
• Sylvia Montes
• Brandi Lynn Moore
• Triniel Moreland
• Matthys Alejandro Moreno-Derks
• Nancy Tybring Morningstar, LCSW
• Donna Mosley
• Mehran Motamed, M,D

• Community Health Worker in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.