MEDICARE: MR. STACY S ADAMS SR. BS IN HUMAN SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1518097104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STACY S ADAMS SR. BS IN HUMAN SERVICES

Provider Business Mailing Address
First Line	:	3576 ARLINGTON AVE STE 100
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3907
Country	:	US
Telephone Number	:	951-374-1555
Fax Number	:	951-394-7426

Provider Business Practice Location Address
First Line	:	3576 ARLINGTON AVE STE 100
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92506-3907
Country	:	US
Telephone Number	:	951-374-1555
Fax Number	:	951-394-7426

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	08/20/2018

Similar Medicare Providers

1942330170 — MERANDA MIDDLETON
Practice Location Address:

3576 ARLINGTON AVE STE 106
RIVERSIDE, CA
92506-3907

Practice Phone: 951-788-5905
Practice Fax:

1538281803 — MS. EVELYN FIERROS
Practice Location Address:

3576 ARLINGTON AVE STE 106
RIVERSIDE, CA
92506-3907

Practice Phone: 323-312-8123
Practice Fax:

1689844847 — JOSE B GONZALEZ LCSW
Practice Location Address:

3576 ARLINGTON AVE STE 100
RIVERSIDE, CA
92506-3907

Practice Phone: 951-374-1555
Practice Fax: 951-394-7426

1194028027 — EMMETT HAZELWOOD
Practice Location Address:

3576 ARLINGTON AVE STE 102
RIVERSIDE, CA
92506-3907

Practice Phone: 951-782-9577
Practice Fax: 951-782-9521

1154605616 — APRIL LATAYE EUGENE
Practice Location Address:

3576 ARLINGTON AVE STE 100
RIVERSIDE, CA
92506-3907

Practice Phone: 951-374-1555
Practice Fax:

1710247812 — MRS. SUSAN VICTORIA WALLACE CLINICIAN
Practice Location Address:

3576 ARLINGTON AVE STE 106
RIVERSIDE, CA
92506-3907

Practice Phone: 951-788-5905
Practice Fax:

Directions to “ MR. STACY S ADAMS SR. BS IN HUMAN SERVICES” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.