| NPI | 1114535051 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2020-07-16 |
| Last Updated | 2025-04-17 |
| Mailing Address | 600 N Arrowhead Ave San Bernardino, CA 92401-1164 United States Phone: (909) 963-5355 📍 View Map |
| Primary Practice Address | 290 N D St Ste 700 San Bernardino, CA 92401-1705 United States Phone: (909) 963-5355 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 101Y00000X – Counselor | - | - |
| No | 106S00000X – Behavior Technician | - | - |
| No | 172V00000X – Community Health Worker | - | - |
| Yes | 373H00000X – Day Training/Habilitation Specialist | - | - |
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About NPI 1114535051
Stephanie Vivas-Campos is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1114535051. The primary specialty listed is Day Training/Habilitation Specialist. The provider is located in San Bernardino, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-07-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1114535051?
NPI 1114535051 belongs to Stephanie Vivas-Campos, a Day Training/Habilitation Specialist in San Bernardino, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1114535051 active?
The current status of NPI 1114535051 in the NPPES registry is Active. The record was last updated on 2025-04-17.
What specialty is NPI 1114535051?
NPI 1114535051 is classified under the taxonomy Day Training/Habilitation Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1114535051?
You can verify NPI 1114535051 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1114535051?
The primary practice address on file for NPI 1114535051 is 290 N D St Ste 700, San Bernardino, CA 92401-1705. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1114535051 issued?
NPI 1114535051 was first issued (enumerated) on 2020-07-16. The NPPES record was last updated on 2025-04-17.
Practice Location Map
Stephanie Vivas-Campos is located at 290 N D St Ste 700, San Bernardino, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Stephanie Vivas-Campos. All records sourced from the CMS NPPES registry.