Stephanie Rae Pietersz

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

691802 Issued in CA

Practice address

290 N D St Ste 700
San Bernardino, CA 92401-1705

Phone

(909) 963-5355

NPI assigned

Jan 14, 2021

Sex

Female

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

State licenses

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.

• Telecare Corporation

  • Psychiatric Residential Treatment Facility
  • Riverside, CA
  • NPI 1922531839
  NPD
• Step Up on Second Street Inc.

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1285186353
  NPD (past)

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1740879618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N D ST STE 700",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011705",
            "telephone_number": "909-963-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N D ST STE 700",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011705",
            "telephone_number": "909-963-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETERSZ",
        "first_name": "STEPHANIE",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-14",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "691802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians Health Network Medical Corporation
• Physicians Healthcare, PSC
• Vicky Maria Pichardo
• Pilar Pichon, M.D.
• Dominique Pierce
• Pih Health Physicians
• Ruby Pimentel
• Brittanya Pina
• Melonie J Pina
• Lennisha Lachelle Pinckney

• Licensed Vocational Nurse in San Bernardino, CA
• Providers in San Bernardino, 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 Jan 13, 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.