Individual provider Active NPI

Stephanie Harvey

  • Community Health Worker
  • Hesperia, CA
National Provider Identifier
1770415259
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
17130 Sequoia St Ste 104
Hesperia, CA 92345-1827
Phone
(844) 982-6374
Fax
(562) 361-9516
NPI assigned
Jun 1, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA Primary

Addresses

Primary practice location

17130 Sequoia St Ste 104
Hesperia, CA 92345-1827

Mailing address

PO Box 1187
Lucerne Valley, CA 92356-1187
Phone (760) 219-5642

Other practice location 1

111 W Ocean Blvd Ste 400
Long Beach, CA 90802-4633
Phone (844) 982-6374

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": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1770415259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "LUCERNE VALLEY",
            "state": "CA",
            "postal_code": "923561187",
            "telephone_number": "760-219-5642",
            "fax_number": "562-361-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17130 SEQUOIA ST STE 104",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451827",
            "telephone_number": "844-982-6374",
            "fax_number": "562-361-9516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Ocean Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908024633",
            "country_code": "US",
            "telephone_number": "844-982-6374",
            "fax_number": "562-361-9516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.