STACY MOON
NPI 1487210290
Case Manager/Care Coordinator in Moreno Valley, CA

Q: What is Stacy Moon's NPI number?

The NPI number for Stacy Moon is 1487210290. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Q: What is Stacy Moon's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Moon was last updated on April 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 16, 2019

22445 ALESSANDRO BLVD, MORENO VALLEY, CA 92553(951) 924-9791 Get Directions Write a Review

NPPES record last updated: April 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2020, May 16, 2019 (2 updates tracked since 2019).

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About Stacy Moon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY MOON (NPI 1487210290) is an individual case manager/care coordinator provider in Moreno Valley, California and active in the NPI registry since May 2019. She maintains a secondary practice location in Gardena.

NPPES Registry Identity

NPI1487210290

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameSTACY MOON

Location Address22445 ALESSANDRO BLVDMoreno Valley, CA 92553-8358

Mailing Address22445 Alessandro BlvdMoreno Valley, CA 92553-8358 · (951) 924-9791

Phone(951) 924-9791

Sole ProprietorNo

Enumeration DateMay 16, 2019

Last NPPES UpdateApril 1, 20202 updates tracked since enumeration

NPPES CertifiedApril 1, 2020

✔ NPI 1487210290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedBehavior TechnicianTaxonomy 106S00000X

22445 ALESSANDRO BLVD, Moreno Valley, CA 92553

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Secondary Practice Location 1

Location 11508 W Artesia Sq Apt BGardena, CA 90248-4773 · Phone (800) 249-1266

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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