Active NPI
Stacy Lynn Holyfield, M.S. CCC-SLP
- Speech-Language Pathologist
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24712
- Practice address
- 11370 Anderson St Ste 2100
Loma Linda, CA 92354-3450 - Phone
- (909) 558-2822
- NPI assigned
- Sep 5, 2016
- Last updated
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24712 | CA | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP8587 | AZ |
Addresses
Primary practice location
11370 Anderson St Ste 2100
Loma Linda, CA 92354-3450
Mailing address
11234 Anderson St
Loma Linda, CA 92350-1716
Phone (909) 558-4368
Other practice location 1
2521 Stockton Blvd Ste 7200
Sacramento, CA 95817-2207
Phone (916) 734-1530
Other practice location 2
13400 E Shea Blvd
Scottsdale, AZ 85259-5452
Phone (480) 301-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11370 Anderson St
Loma Linda, CA 92354-3450
3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224
4646 Brockton Ave
Suite 103
Riverside, CA 92506-0103
Phone (909) 558-3111
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 78.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24712 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Locations
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800
13400 E Shea Blvd
Scottsdale, AZ 85259
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
12021 Jacaranda Ave
Hesperia, CA 92345
Phone (909) 558-4207
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2600
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700
28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
dba Mayo Clinic Scottsdale
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Neurological Surgery Physician
- Riverside, CA
- NPI 1518401546
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1912454208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501716",
"telephone_number": "909-558-4368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST STE 2100",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543450",
"telephone_number": "909-558-2822"
}
],
"practiceLocations": [
{
"address_1": "2521 Stockton Blvd Ste 7200",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172207",
"country_code": "US",
"telephone_number": "916-734-1530",
"fax_number": "916-703-5011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13400 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852595452",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLYFIELD",
"first_name": "STACY",
"middle_name": "LYNN",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-05",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "24712",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP8587",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.