SHAUN STARK
NPI 1861181711
Peer Specialist in Ontario, CA

Active since May 05, 2023
2890 INLAND EMPIRE BLVD, ONTARIO, CA 91764(909) 233-7265 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 19, 2023, May 5, 2023 (2 updates tracked since 2023).

About Shaun Stark NPPES

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

SHAUN STARK (NPI 1861181711) is an individual peer specialist in Ontario, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1861181711
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHAUN STARK
Location Address2890 INLAND EMPIRE BLVDOntario, CA 91764-4649
Mailing Address2890 Inland Empire BlvdOntario, CA 91764-4649
Sole ProprietorNo
Enumeration DateMay 5, 2023
Last NPPES UpdateMay 19, 20232 updates tracked since enumeration
NPPES CertifiedMay 19, 2023
NPI 1861181711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
2890 INLAND EMPIRE BLVD, Ontario, CA 91764

Other Providers at the Same Location NPPES 3

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

Social Worker
2890 INLAND EMPIRE BLVD, SUITS. 100
ONTARIOA, CA 91764
Peer Specialist
2890 INLAND EMPIRE BLVD
ONTARIO, CA 91764
Peer Specialist
2890 INLAND EMPIRE BLVD
ONTARIO, CA 91764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaun Stark's NPI number?

The NPI number for Shaun Stark is 1861181711. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Shaun Stark located?

Shaun Stark practices at 2890 Inland Empire Blvd, Ontario, CA 91764. The listed phone number is (909) 233-7265.

What is Shaun Stark's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Shaun Stark was last updated on May 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.