Myo Face Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MYO FACE THERAPY, LLC

Practice address

13932 Hollywood Ave
Eastvale, CA 92880-8823

Phone

(909) 489-0100

NPI assigned

Mar 16, 2026

Organization subpart

Yes

Parent organization

MY FACE THERAPYAs reported in NPPES

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

Authorized official

Name

Staci BergeronNPI 1689927386

Title

Myofunctional Therapist

Phone

(909) 489-0100

Specialties & licenses 1

Addresses

Part of

Myo Face Therapy LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Staci Bergeron, RDH

  • Dental Hygienist
  • Irvine, CA
  • NPI 1689927386
  NPD Authorized official

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1902753072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13932 HOLLYWOOD AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808823",
            "telephone_number": "909-489-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13932 HOLLYWOOD AVE",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808823",
            "telephone_number": "909-489-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYO FACE THERAPY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY FACE THERAPY",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "MYOFUNCTIONAL THERAPIST",
        "authorized_official_telephone_number": "909-489-0100"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simon Njuguna Muthui
• Elizabeth Wamuyu Muturi, RN
• Stephen Mwangi, LVN
• Emily W Mwembu, RN
• Botamena M Mylad, DDS
• Naira Healthcare
• National Birth Centers, Inc.
• National Vision Inc
• Sarah Nelson, FNP-C
• Bernard W Newman

• Professional Counselor in Eastvale, CA
• Providers in Eastvale, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.