NPI Code Detail JSON Logo

1760031736 NPI number — STACEY RENEA BURGOS LM

NPI Number: 1760031736
Health Care Provider/Practitioner: STACEY RENEA BURGOS LM

Information about “1760031736” NPI (STACEY RENEA BURGOS LM) exists in 1760031736 in HTML format HTML  |  1760031736 in plain Text format TXT  |  1760031736 in PDF (Portable Document Format) PDF  |  1760031736 in an XML format XML  formats.

NPI Number : 1760031736 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1760031736",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURGOS",
    "FirstName": "STACEY",
    "MiddleName": "RENEA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BURGOS",
    "OtherFirstName": "RENEA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LM",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1801 TOWN AND COUNTRY DR UNIT 861",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORCO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92860-8143",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "951-268-9008",
    "MailingAddressFaxNumber": "951-268-9922",
    "FirstLinePracticeLocationAddress": "1801 TOWN AND COUNTRY DR UNIT 861",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORCO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92860-8143",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "951-268-9008",
    "PracticeLocationAddressFaxNumber": "951-268-9922",
    "EnumerationDate": "09/11/2019",
    "LastUpdateDate": "07/01/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "174N00000X",
          "TaxonomyName": "Lactation Consultant (Non-RN)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "374J00000X",
          "TaxonomyName": "Doula",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "176B00000X",
          "TaxonomyName": "Midwife",
          "LicenseNumber": "LM620",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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