Stephanie Stafford

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

58471 29 Palms Hwy Ste 102
Yucca Valley, CA 92284-5818

Phone

(760) 853-4888

Fax

(760) 418-2201

NPI assigned

Jan 10, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Valley Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Downey, CA
  • NPI 1396491973
  NPD (past)
• Valley Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Yucca Valley, CA
  • NPI 1457731606
  NPD (past)

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1629254537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58471 29 PALMS HWY STE 102",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845818",
            "telephone_number": "760-853-4888",
            "fax_number": "760-418-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58471 29 PALMS HWY STE 102",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845818",
            "telephone_number": "760-853-4888",
            "fax_number": "760-418-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C21811214",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Alan Snider, PTA
• Specialty Urgent Care, LP
• Spektor Surgical, Inc.
• Maxim Spektor, D.O.
• Barbara J St. Lazare
• Confy M Stanley
• Michael Stearns
• Gina Marie Steffens, LCSW
• Kerry S. Sterne
• Roman Stetkevich, PA

• Case Manager/Care Coordinator in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.